Provider Demographics
NPI:1730318692
Name:NESTER AND MATHIAS DENTAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NESTER AND MATHIAS DENTAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NESTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-761-0325
Mailing Address - Street 1:1851 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1700
Mailing Address - Country:US
Mailing Address - Phone:717-761-0325
Mailing Address - Fax:717-761-5477
Practice Address - Street 1:1851 CENTER ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1700
Practice Address - Country:US
Practice Address - Phone:717-761-0325
Practice Address - Fax:717-761-5477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization