Provider Demographics
NPI:1760665467
Name:NASH, JOEL E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:E
Last Name:NASH
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 1:706 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-2023
Mailing Address - Country:US
Mailing Address - Phone:215-238-8800
Mailing Address - Fax:215-238-8858
Practice Address - Street 1:706 SOUTH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-2023
Practice Address - Country:US
Practice Address - Phone:215-238-8800
Practice Address - Fax:215-238-8858
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021959001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice