Organization
NEXUS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BLOUGH DDS (PRESIDENT)
(704) 763-2561
Entity
Organization
Contact information
Practice address
3440 E STATE ROAD 32 # SETA2, WESTFIELD, IN 46074-8769
(704) 763-2561
Mailing address
12890 OLD MERIDIAN ST APT 360, CARMEL, IN 46032-8935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
01/09/2020
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