Provider Demographics
NPI:1558406447
Name:FRENCH, NATHAN ERIK (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ERIK
Last Name:FRENCH
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 1:6620 GORDON RD STE L
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-8413
Mailing Address - Country:US
Mailing Address - Phone:910-794-5500
Mailing Address - Fax:
Practice Address - Street 1:6620 GORDON RD STE L
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-8413
Practice Address - Country:US
Practice Address - Phone:910-794-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005015019122300000X
NC150542122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist