Organization
JAMES R. NASS D.D.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RICHARDT NASS D.D.S. (OWNER)
(920) 892-2117
Entity
Organization
Contact information
Practice address
803 OAK RIDGE DR, PLYMOUTH, WI 53073-4040
(920) 892-2117
Mailing address
803 OAK RIDGE DR, PLYMOUTH, WI 53073-4040
(920) 892-2117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2430-015
WI
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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