# FRANK NELSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thunder Mountain Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184839276
- **Authorized official:** AMY KROEGER (INS COOD)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 3015 HIGHWAY 95, SUITE 108A, BULLHEAD CITY, AZ 86442-4334
- **Practice address phone:** (928) 763-9803
- **Practice address fax:** (928) 763-6813
- **Mailing address:** 3015 HIGHWAY 95, SUITE 108A, BULLHEAD CITY, AZ 86442-4334
- **Mailing address phone:** (928) 763-9803
- **Mailing address fax:** (928) 763-6813

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020