National Provider Identifier
John D Nystrom, D.D.S.
John D Nystrom, D.D.S. is listed in the NPPES registry with a primary specialty of Dentist in Houghton, NY and a listed phone number of (585) 567-2241.
Profile Overview
- NPI
- 1265653018
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- May 01, 2007
- Last Updated
- July 08, 2007
Practice Location
- 9660 Route 19
- Houghton, NY 14744
Phone: (585) 567-2241
Mailing Address
- 9764 Fancher Heights
- Houghton, NY 14744
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1265653018
- Entity Type
- Individual
- Last Name
- Nystrom
- First Name
- John
- Middle Name
- D
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 9764 Fancher Heights
- Mailing City
- Houghton
- Mailing State
- NY
- Mailing ZIP Code
- 14744
- Mailing Country
- US
- Mailing Phone
- (585) 567-8858
- Mailing Fax
- (585) 567-2297
- Practice Street Address
- 9660 Route 19
- Practice City
- Houghton
- Practice State
- NY
- Practice ZIP Code
- 14744
- Practice Country
- US
- Practice Phone
- (585) 567-2241
- Practice Fax
- (585) 567-2297
- Enumeration Date
- May 01, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)