Provider Demographics
NPI:1750712469
Name:NATTKEMPER, LLOYD P (DDS)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:P
Last Name:NATTKEMPER
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 1:880 CASS STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-649-3661
Mailing Address - Fax:831-649-3690
Practice Address - Street 1:880 CASS STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-649-3661
Practice Address - Fax:831-649-3690
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA321481223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics