Nathan Proctor, DDS

NPI 1124370192 · on the registry since 2012 · sole proprietor

Practice

Address: 1724 Nebraska Ave.
Fort Leonard Wood, MO 65473
Phone: (573) 596-0408
Organisation at this address: General Leonard Wood Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri