# JONATHAN NASH, DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTISTRY BY DESIGN
- **Other names:** Dentistry By Design
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205006103
- **Legal business name:** DENTISTRY BY DESIGN
- **Authorized official:** DR. JONATHAN B NASH DDS (OWNER)
- **Authorized official phone:** (208) 746-1373

## Contact information

- **Practice address:** 2517 17TH ST, SUITE A, LEWISTON, ID 83501-6311
- **Practice address phone:** (208) 746-1373
- **Practice address fax:** (208) 746-9855
- **Mailing address:** 2517 17TH ST, LEWISTON, ID 83501-6311
- **Mailing address phone:** (208) 746-1373
- **Mailing address fax:** (208) 746-9855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3242 | ID | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 07/29/2024

## 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 |