NATHAN JOHN PROCTOR DDS
NPI 1124370192
Dentist in Fort Leonard Wood, MO

Q: What is Nathan Proctor's NPI number?

The NPI number for Nathan Proctor is 1124370192. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Q: What is Nathan Proctor's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Proctor was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2012

1724 NEBRASKA AVE., FORT LEONARD WOOD, MO 65473(573) 596-0408 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nathan John Proctor Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JOHN PROCTOR DDS (NPI 1124370192) is an individual dentist in Fort Leonard Wood, Missouri, licensed in Utah (8444191-9922) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1124370192

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameNATHAN JOHN PROCTORCredential: DDS

Location Address1724 NEBRASKA AVE.Fort Leonard Wood, MO 65473

Mailing Address1724 Nebraska AveFort Leonard Wood, MO 65473-8939 · (573) 596-0408

Phone(573) 596-0408

Sole ProprietorYes

Enumeration DateOctober 15, 2012

✔ NPI 1124370192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 8444191-9922

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1724 NEBRASKA AVE., Fort Leonard Wood, MO 65473

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Proctor's NPI number?

The NPI number for Nathan Proctor is 1124370192. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Nathan Proctor located?

Nathan Proctor practices at 1724 Nebraska Ave., Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0408.

What is Nathan Proctor's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nathan Proctor accept?

Health plans from Humana list Nathan Proctor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Proctor was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.