Individual
DR. NATHAN HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
324 W SUPERIOR ST, SUITE 100, DULUTH, MN 55802-1701
(218) 722-5233
(218) 722-5661
Mailing address
324 W SUPERIOR ST, SUITE 100, DULUTH, MN 55802-1701
(218) 722-5233
(218) 722-5661
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11615
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11615
AOA
MN
Enumeration date
01/04/2007
Last updated
07/29/2015
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