Organization
NELSON FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. NELSON D.D.S. (PRESIDENT)
(701) 222-4746
Entity
Organization
Contact information
Practice address
1700 E INTERSTATE AVE, BISMARCK, ND 58503-1207
(701) 222-4746
(701) 222-1783
Mailing address
1700 E INTERSTATE AVE, BISMARCK, ND 58503-1207
(701) 222-4746
(701) 222-1783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1749
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1749
STATE LICENSE FOR DENTIST
ND
Enumeration date
10/13/2005
Last updated
08/22/2020
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