# DR STEVEN F NIELSEN DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Valley Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194774109
- **Authorized official:** DR. STEVEN F NIELSEN D.D.S. (HALF OWNER)
- **Authorized official phone:** (208) 357-7611

## Contact information

- **Practice address:** 371 W FIR ST, SHELLEY, ID 83274-1456
- **Practice address phone:** (208) 357-7611
- **Practice address fax:** (208) 357-1805
- **Mailing address:** PO BOX 525, SHELLEY, ID 83274-0525
- **Mailing address phone:** (208) 357-7611
- **Mailing address fax:** (208) 357-1805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 08/22/2020