Individual
DR. NATHANIEL SIMON TREISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, DMSC
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 308-1472
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
20039
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
04799
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1201514
—
MA
Enumeration date
02/09/2006
Last updated
04/04/2025
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