Nathan John Proctor, DDS - Dentist in Fort Leonard Wood, MO

Nathan John Proctor, DDS is a Dentist based in Fort Leonard Wood, Missouri. Nathan John Proctor is licensed to practice in Utah (license number 8444191-9922) and his current practice location is 1724 Nebraska Ave., Fort Leonard Wood, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 596-0408.

NPI number for Nathan John Proctor is 1124370192 and his current mailing address is 1724 Nebraska Ave, Fort Leonard Wood, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124370192.

Contact Information

Nathan John Proctor, DDS
1724 Nebraska Ave.,
Fort Leonard Wood, MO 65473
(573) 596-0408
Not Available



Healthcare Provider's Profile

Full NameNathan John Proctor
GenderMale
SpecialityDentist
Location1724 Nebraska Ave., Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124370192
  • Provider Enumeration Date: 10/15/2012
  • Last Update Date: 10/15/2012

Medical Identifiers

Medical identifiers for Nathan John Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124370192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 8444191-9922 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan John Proctor is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nathan John Proctor, DDS
1724 Nebraska Ave,
Fort Leonard Wood, MO 65473-8939

Ph: (573) 596-0408
Nathan John Proctor, DDS
1724 Nebraska Ave.,
Fort Leonard Wood, MO 65473

Ph: (573) 596-0408

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› Verified 7 days ago


Dentist in Fort Leonard Wood, MO

Dr. Mark M Kuba, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473
Phone: 573-396-0408    Fax: 573-596-0314
Kyle Leach, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6958 Nebraska Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0408    
Dr. Brady O Thompson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473
Phone: 537-596-0364    
Dr. Ralf Beilhardt, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6958 Nebraska Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0334    
Marie T Welton, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473
Phone: 573-596-0364    
Alesia Hatten, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6958 Nebraska Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0411    Fax: 573-596-0410

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