# BRUCE E. NAGEL D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235354341
- **Authorized official:** DR. BRUCE E NAGEL D.D.S. (PRESIDENT)
- **Authorized official phone:** (219) 872-9151

## Contact information

- **Practice address:** 1213 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6319
- **Practice address phone:** (219) 872-9151
- **Practice address fax:** (219) 873-3341
- **Mailing address:** 1213 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6319
- **Mailing address phone:** (219) 872-9151
- **Mailing address fax:** (219) 873-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007167A | IN | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020