# JACK W. NASH, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1376694562
- **Authorized official:** DR. JACK W NASH D.D.S. (PRESIDENT)
- **Authorized official phone:** (989) 752-1200

## Contact information

- **Practice address:** 1320 S WASHINGTON AVE, SAGINAW, MI 48601-2591
- **Practice address phone:** (989) 752-1200
- **Practice address fax:** (989) 752-2481
- **Mailing address:** 1320 S WASHINGTON AVE, SAGINAW, MI 48601-2591
- **Mailing address phone:** (989) 752-1200
- **Mailing address fax:** (989) 752-2481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11744 | MI | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1704648 | — | MI |