Provider Demographics
NPI:1477964989
Name:NEHRER, ERNEST MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:MICHAEL
Last Name:NEHRER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 ESTA LN
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-2100
Mailing Address - Country:US
Mailing Address - Phone:831-234-5526
Mailing Address - Fax:
Practice Address - Street 1:1728 W GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8860
Practice Address - Country:US
Practice Address - Phone:831-234-5526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ89351223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry