Individual
DR. CAITLYN ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
107 KOONTZ AVE STE 200, CLENDENIN, WV 25045
(304) 548-2160
Mailing address
711 MYRTLE RD, CHARLESTON, WV 25314-1117
(304) 767-5464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4260
WV
Other
Enumeration date
06/20/2016
Last updated
05/01/2026
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