Individual
DR. JONATHAN NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 634-1812
Mailing address
1201 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 634-1812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3914-17
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2016
Last updated
07/21/2022
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