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Individual
DR. JED CODY NIELSON
Active
Individual
DR. JED CODY NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
29379
TX
1223G0001X
General Practice Dentistry
Primary
29379
TX
1223G0001X
General Practice Dentistry
7543
AZ
Other
Enumeration date
07/14/2008
Last updated
09/01/2026
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