Provider Demographics
NPI:1376311217
Name:GEORGE H NAHAS DDS LLC
Entity Type:Organization
Organization Name:GEORGE H NAHAS DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:NAHAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:570-674-7474
Mailing Address - Street 1:40 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-1804
Mailing Address - Country:US
Mailing Address - Phone:570-674-7474
Mailing Address - Fax:570-674-2984
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-1804
Practice Address - Country:US
Practice Address - Phone:570-674-7474
Practice Address - Fax:570-674-2984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty