Provider Demographics
NPI:1407959950
Name:NAGLE, HOWARD JAMES JR (DMD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:JAMES
Last Name:NAGLE
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 SHENANGO VALLEY FREEWAY
Mailing Address - Street 2:PINEWOOD PLACE SUITE 4 NORTH
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148
Mailing Address - Country:US
Mailing Address - Phone:724-347-1355
Mailing Address - Fax:724-982-0533
Practice Address - Street 1:1951 SHENANGO VALLEY FREEWAY
Practice Address - Street 2:PINEWOOD PLACE SUITE 4 NORTH
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148
Practice Address - Country:US
Practice Address - Phone:724-347-1355
Practice Address - Fax:724-982-0533
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025936L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist