Provider Demographics
NPI:1649432832
Name:TURLEY, NATHAN FREDERICK (DDS)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:FREDERICK
Last Name:TURLEY
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 1:1205 W VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6227
Mailing Address - Country:US
Mailing Address - Phone:760-941-5051
Mailing Address - Fax:888-228-5701
Practice Address - Street 1:1205 W VISTA WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6227
Practice Address - Country:US
Practice Address - Phone:760-941-5051
Practice Address - Fax:888-228-5701
Is Sole Proprietor?:No
Enumeration Date:2008-06-28
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA100911223S0112X
CA613411223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery