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John Nathan, MD,DDS
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1760917199

John Nathan is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. John Nathan practices in Jacksonville, FL and has the professional credentials of MD,DDS. The NPI Number for John Nathan is 1760917199 and holds a License No. D13854 (Florida).

The current practice location address for John Nathan is 653 W 8Th St, Jacksonville, FL and can be reached out via phone at 904-244-2000. You can also correspond with John Nathan through the mailing address at 653 W 8TH ST, JACKSONVILLE, FL - 32209-6511 (mailing address contact number: 904-244-2000).

Location: 653 W 8Th St, Jacksonville, FL, 32209-6511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760917199
Provider Name
John Nathan
Credential
MD,DDS
Provider Entity Type
Individual
Gender
Male
Address
653 W 8Th St, Jacksonville, FL, 32209-6511
Phone Number
904-244-2000
Fax Number
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
653 W 8Th St
City
Jacksonville
State
Florida
Zip
32209-6511
Phone Number
904-244-2000
Fax Number
person
Provider Business Mailing Address Details
Address
653 W 8Th St
City
Jacksonville
State
Florida
Zip
32209-6511
Phone Number
904-244-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
71444 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
D13854 (Minnesota)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D13854 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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