Provider Demographics
NPI:1376064857
Name:MAY, NATALIE LYNN (DMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:LYNN
Last Name:MAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9288 NEPTUNES BASIN CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5612
Mailing Address - Country:US
Mailing Address - Phone:561-706-0050
Mailing Address - Fax:
Practice Address - Street 1:2095 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-4806
Practice Address - Country:US
Practice Address - Phone:239-430-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice