# NSN DENTAL, PLLC

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

## Provider details

- **NPI number:** 1821698622
- **Authorized official:** NICHOLAS NETZEL DMD (PRESIDENT)
- **Authorized official phone:** (623) 910-2767

## Contact information

- **Practice address:** 10750 W MCDOWELL RD STE A250, AVONDALE, AZ 85392-5979
- **Practice address phone:** (623) 907-9400
- **Practice address fax:** (623) 907-9405
- **Mailing address:** 6243 W KRISTAL WAY, GLENDALE, AZ 85308-7661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2020
- **Last updated:** 10/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1164860755 | ENDODONTIST | — |