Individual
DR. JAMES STEWART NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1611 SHERIDAN LAKE RD, RAPID CITY, SD 57702-3423
(605) 341-3670
(605) 343-6646
Mailing address
1611 SHERIDAN LAKE RD, RAPID CITY, SD 57702-3423
(605) 341-3670
(605) 343-6646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M676
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7809990
—
SD
Enumeration date
10/10/2006
Last updated
07/08/2007
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