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DR. NATHAN WILLIAM BAILEY DMD

Dental Providers Dentist

Provider NPI: 1568870681

Provider Information:
DR. NATHAN WILLIAM BAILEY DMD
Gender: M
Not Sole Proprietor

Practice Location:
2301 MOUNTAIN VIEW BLVD, SUITE D  KLAMATH FALLS, OR 97603 US
Tel: 541-882-9039  Fax: 541-850-8840

Business Mailing Address:
6411 VERDA VISTA CT  KLAMATH FALLS, OR 97603-7753 US
Tel: 541-892-6628  Fax: 541-850-8840

NPI Information:
NPI: 1568870681
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
ORD10099

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 122300000X

Type:

Classification:



Definition:



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