Individual
DR. NATHAN JAMES LATIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D.
Contact information
Practice address
414 SOUTH ST, HYANNIS, MA 02601-5434
(508) 775-5518
Mailing address
115 LOOMIS LN, CENTERVILLE, MA 02632-2505
(909) 362-1307
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
57260
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855054
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
262350
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A126769
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2008
Last updated
03/16/2016
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