# NELSON FAMILY DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447439732
- **Authorized official:** DR. DARRIN J NELSON D.M.D. (OWNER)
- **Authorized official phone:** (623) 931-5321

## Contact information

- **Practice address:** 4491 W NORTHERN AVE, GLENDALE, AZ 85301-1649
- **Practice address phone:** (623) 931-5321
- **Practice address fax:** (623) 939-5108
- **Mailing address:** 4491 W NORTHERN AVE, GLENDALE, AZ 85301-1649
- **Mailing address phone:** (623) 931-5321
- **Mailing address fax:** (623) 939-5108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4796 | AZ | Yes |

## Other

- **Enumeration date:** 11/02/2007
- **Last updated:** 11/02/2007