Individual
NATHAN PERSELL
Active
Individual
NATHAN PERSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7179
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
38248
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7179
NE
Other
Enumeration date
07/21/2014
Last updated
03/04/2026
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