Provider Demographics
NPI:1891804159
Name:NOLAN, PATRICK SARSFIELD (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:SARSFIELD
Last Name:NOLAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 S ALHAMBRA CIR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3805
Mailing Address - Country:US
Mailing Address - Phone:305-740-0350
Mailing Address - Fax:305-740-0352
Practice Address - Street 1:915 S ALHAMBRA CIR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3805
Practice Address - Country:US
Practice Address - Phone:305-740-0350
Practice Address - Fax:305-740-0352
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA210421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice