Individual
DR. JACY CRAIG NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14300 SE PETROVITSKY RD, RENTON, WA 98058-8955
(253) 852-0206
(253) 852-6351
Mailing address
14300 SE PETROVITSKY RD, RENTON, WA 98058-8955
(253) 852-0206
(253) 852-5361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009342
WA
Other
Enumeration date
12/23/2005
Last updated
03/18/2026
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