Provider Demographics
NPI:1598956534
Name:NADOLSKI, DAVID ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANDREW
Last Name:NADOLSKI
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 1:362 CASTAWAY DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9363
Mailing Address - Country:US
Mailing Address - Phone:860-922-7618
Mailing Address - Fax:
Practice Address - Street 1:20 CASSIDY DR UNIT 105
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4151
Practice Address - Country:US
Practice Address - Phone:843-706-5612
Practice Address - Fax:864-808-3412
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03836122300000X
CT0097561223G0001X
SC46991223G0001X
GADN1225181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist