# NELSON DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NELSON DENTAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043033442
- **Legal business name:** NELSON DENTAL
- **Authorized official:** DR. EVAN PAUL NELSON DDS (DENTIST)
- **Authorized official phone:** (701) 541-3094

## Contact information

- **Practice address:** 910 16TH AVE N, WAHPETON, ND 58075-3217
- **Practice address phone:** (701) 642-0087
- **Practice address fax:** (701) 999-2151
- **Mailing address:** 910 16TH AVE N, WAHPETON, ND 58075-3217
- **Mailing address phone:** (701) 642-0087
- **Mailing address fax:** (701) 999-2151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 11/11/2024