Provider Demographics
NPI:1558491365
Name:TEEL, NANCY JOANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JOANNE
Last Name:TEEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 NE 125TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-8911
Mailing Address - Country:US
Mailing Address - Phone:206-363-6696
Mailing Address - Fax:206-363-0072
Practice Address - Street 1:3340 NE 125TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8911
Practice Address - Country:US
Practice Address - Phone:206-363-6696
Practice Address - Fax:206-363-0072
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000064401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice