Organization
JAY ANDREW NELSON, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A NELSON D.M.D. (OWNER)
(813) 733-4169
Entity
Organization
Contact information
Practice address
26907 FOGGY CREEK RD STE 101, WESLEY CHAPEL, FL 33544-6778
(813) 733-4169
(888) 977-1984
Mailing address
26907 FOGGY CREEK RD STE 101, WESLEY CHAPEL, FL 33544-6778
(813) 733-4169
(888) 977-1984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN10809
FL
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
08/24/2021
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