Stephen H. Nagle

General Practice Dentistry · Petaluma, CA

Individual Active NPI

NPI number 1063614360

Practice location

511 Hayes Ln
Petaluma, CA 94952-4011
Phone
(707) 763-2654
Fax
(707) 763-3141

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NPI record

NPI
1063614360
Entity type
Individual (Type 1)
Enumeration date
May 31, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 29392 CA

Mailing address

945 Sunnyslope Rd
Petaluma, CA 94952-4778
Phone
(707) 778-1092

About Stephen Nagle

Stephen H. Nagle is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 511 Hayes Ln, Petaluma, CA 94952-4011. The NPI number 1063614360 was assigned on May 31, 2007 and the record was last updated on July 8, 2007.

Stephen Nagle lists a license in the registry: #29392 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen H. Nagle?

The NPI number is 1063614360.

What is the phone number of Stephen Nagle?

The phone number listed for the practice location is (707) 763-2654.

Where is Stephen Nagle located?

511 Hayes Ln, Petaluma, CA 94952-4011.

What is the taxonomy code for Stephen Nagle?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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