Provider Demographics
NPI:1811725112
Name:RUBY B. NAH, DDS, P.A.
Entity type:Organization
Organization Name:RUBY B. NAH, DDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:984-459-8732
Mailing Address - Street 1:6411 TRIANGLE PLANTATION DR STE 105
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5185
Mailing Address - Country:US
Mailing Address - Phone:984-459-8732
Mailing Address - Fax:
Practice Address - Street 1:6411 TRIANGLE PLANTATION DR STE 105
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-5185
Practice Address - Country:US
Practice Address - Phone:984-459-8732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty