Individual
DR. NATHAN MATTHEW HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
472 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
(904) 246-6545
Mailing address
472 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414105
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00204141
CO
Other
Enumeration date
08/06/2013
Last updated
05/16/2023
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