Organization
BROCK J NELSON DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK JESSE NELSON DMD (OWNER)
(503) 364-3004
Entity
Organization
Contact information
Practice address
631 JASON ST NE STE 150, SALEM, OR 97301-2318
(503) 364-3004
Mailing address
631 JASON ST NE STE 150, SALEM, OR 97301-2318
(503) 364-3004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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