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Organization
JONATHAN NASH, DDS PC
Active
Organization
JONATHAN NASH, DDS PC
Active
Parent organization
DENTISTRY BY DESIGN
Other names
Dentistry By Design
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTISTRY BY DESIGN
Authorized official
DR. JONATHAN B NASH DDS (OWNER)
(208) 746-1373
Entity
Organization
Contact information
Practice address
2517 17TH ST, SUITE A, LEWISTON, ID 83501-6311
(208) 746-1373
(208) 746-9855
Mailing address
2517 17TH ST, LEWISTON, ID 83501-6311
(208) 746-1373
(208) 746-9855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3242
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010011285
REGENCE BLUE SHIELD
ID
01
—
149960173
ADA
ID
01
—
1992813182
NPI # INDIVIDUAL
ID
01
—
6A242
BLUE CROSS
ID
05
—
805043900
—
ID
01
—
9201666
IDAHO SMILES - DORAL
ID
Enumeration date
03/06/2008
Last updated
07/29/2024
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