Basic Information
Provider Information
NPI: 1003003336
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAGY
FirstName: ATTILA
MiddleName: ZOLTAN
NamePrefix: DR.
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 823 S SANDUSKY AVE
Address2:  
City: BUCYRUS
State: OH
PostalCode: 44820
CountryCode: US
TelephoneNumber: 4195624378
FaxNumber: 4195625386
Practice Location
Address1: 823 S SANDUSKY AVE
Address2:  
City: BUCYRUS
State: OH
PostalCode: 44820
CountryCode: US
TelephoneNumber: 4195624378
FaxNumber: 4195625386
Other Information
ProviderEnumerationDate: 10/01/2007
LastUpdateDate: 10/01/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X30021812OHY Dental ProvidersDentist 

No ID Information.


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