Individual
NATHANIEL TODD EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
867 EASTGATE NORTH DR, CINCINNATI, OH 45245-1791
(513) 843-0133
Mailing address
10884 N SLATE LN, HIGHLAND, UT 84003-4300
(801) 678-9518
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13421345-9925
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.026872
OH
Other
Enumeration date
04/11/2017
Last updated
08/30/2023
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