Provider Demographics
NPI:1801637004
Name:NATOUR, BAHIJ (DDS)
Entity type:Individual
Prefix:
First Name:BAHIJ
Middle Name:
Last Name:NATOUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6314 DUCKETTS LN
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6102
Mailing Address - Country:US
Mailing Address - Phone:443-538-9855
Mailing Address - Fax:
Practice Address - Street 1:2087 SPRINGWOOD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4827
Practice Address - Country:US
Practice Address - Phone:717-843-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18090122300000X
PADS044712122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist