Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bryan Nack, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1073966545

Dr. Bryan Nack, DMD is an Oral Surgery in Jenkintown, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Innovative Implant and Oral Surgery PC, a 5-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
14
Licensed in
FL, PA
In the registry since
2016
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

609 Harper Ave
Jenkintown, PA 19046-3206
Phone: (267) 736-6400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS042504 (PA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN22167 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073966545
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing address1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Innovative Implant And Oral Surgery Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jenkintown