Provider Demographics
NPI:1841089539
Name:THE DENTAL OFFICE OF NATHANIEL FOGEL, DDS LLC.
Entity type:Organization
Organization Name:THE DENTAL OFFICE OF NATHANIEL FOGEL, DDS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-730-3311
Mailing Address - Street 1:8815 CENTRE PARK DR STE 310
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2299
Mailing Address - Country:US
Mailing Address - Phone:410-730-3311
Mailing Address - Fax:443-535-6917
Practice Address - Street 1:8815 CENTRE PARK DR STE 310
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2299
Practice Address - Country:US
Practice Address - Phone:410-730-3311
Practice Address - Fax:443-535-6917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty