Individual
NATHAN D LENOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1475 SW CHANDLER AVE, SUITE 101, BEND, OR 97702
(541) 317-6993
(541) 617-0030
Mailing address
1475 SW CHANDLER AVE, SUITE 101, BEND, OR 97702
(541) 317-6993
(541) 617-0030
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D10398
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
S-476
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07904
—
LA
Enumeration date
05/23/2007
Last updated
11/08/2018
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