Provider Demographics
NPI:1699771113
Name:DOYEL, NATHAN STEPHEN (DMD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:STEPHEN
Last Name:DOYEL
Suffix:
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 1:17680 SW HANDLEY ST
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-9255
Mailing Address - Country:US
Mailing Address - Phone:503-925-9595
Mailing Address - Fax:
Practice Address - Street 1:16160 SW LANGER DR
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-8795
Practice Address - Country:US
Practice Address - Phone:503-925-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD73481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice