Provider Demographics
NPI:1669772687
Name:NAHAS, JENNIFER F (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:F
Last Name:NAHAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7460 BOONEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266
Mailing Address - Country:US
Mailing Address - Phone:515-224-4867
Mailing Address - Fax:515-223-1069
Practice Address - Street 1:1701-22ND ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-224-4867
Practice Address - Fax:515-223-1069
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA087721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice