Nathan Coleman, DMD
Dentist, General Practice in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1093498693
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1093498693
- Entity type
- Individual (NPI-1)
- Name
- Nathan Coleman
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2023
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 13366327-9923 | UT | Yes |
Practice location
850 E 300 S Ste 3Salt Lake City, UT 84102-2397
Phone 801-355-0380
Mailing address
1756 S 450 EKaysville, UT 84037-4016
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