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Contact Information

NATHAN D LENOX, DMD, MD
1475 SW CHANDLER AVE
SUITE 101
BEND, OR97702
 Phone: 541-317-6993
 Fax: 541-617-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NATHAN D LENOX · (Male)

NPI # 1245440676
Status Active
Credentials DMD, MD
Entity Individual
Enumeration date 05/23/2007
Last updated 11/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • LA License # S-476
  • OR License # D10398
  • LA Medicaid 07904
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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