Provider Demographics
NPI:1366751984
Name:NAUERT, GEORGE H (DDS, PS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:H
Last Name:NAUERT
Suffix:
Gender:M
Credentials:DDS, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 N, COUNTRY HOMES BLVD, SUITE 204
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-4376
Mailing Address - Country:US
Mailing Address - Phone:509-324-0817
Mailing Address - Fax:
Practice Address - Street 1:6821 N COUNTRY HOMES BLVD STE 204
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-4376
Practice Address - Country:US
Practice Address - Phone:509-324-0817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA46551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics