Organization
JACY C NELSON D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACY CRAIG NELSON DDS, PS (OWNER)
(253) 852-0206
Entity
Organization
Contact information
Practice address
14300 SE PETROVITSKY RD, RENTON, WA 98058-8955
(253) 852-0202
(253) 852-5361
Mailing address
14300 SE PETROVITSKY RD, RENTON, WA 98058-8955
(253) 852-0206
(253) 852-5361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE9342
WA
Other
Enumeration date
09/01/2016
Last updated
05/11/2026
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