Provider Demographics
NPI:1609974054
Name:CALL, NATHAN D (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:D
Last Name:CALL
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 1:1220 33RD ST STE D
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1379
Mailing Address - Country:US
Mailing Address - Phone:801-392-5637
Mailing Address - Fax:801-392-5667
Practice Address - Street 1:1220 33RD ST STE D
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1379
Practice Address - Country:US
Practice Address - Phone:801-392-5637
Practice Address - Fax:801-392-5667
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6693820-99211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice