Individual
JAMES LUKE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE STE 230, OKLAHOMA CITY, OK 73117-1214
(206) 650-2977
Mailing address
1201 N STONEWALL AVE STE 230, OKLAHOMA CITY, OK 73117-1214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7616
OK
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR61164243
WA
390200000X
Student in an Organized Health Care Education/Training Program
7616
OK
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2021
Last updated
04/08/2025
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