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

Nathan John Proctor, DDS

Individual provider Dentist · NPI 1124370192

Nathan John Proctor, DDS is a Dentist in Fort Leonard Wood, Missouri. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1724 Nebraska Ave
Fort Leonard Wood, MO 65473
Phone: (573) 596-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8444191-9922 (UT)

Record details

NPI number1124370192
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 15, 2012
Last updated in NPPESOctober 15, 2012

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