Individual
DR. RICHARD HUNTER NELLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
163 PLEASANT AVENUE, PORTLAND, ME 04103-3242
(207) 773-3794
(207) 772-1011
Mailing address
163 PLEASANT AVENUE, PORTLAND, ME 04103-3242
(207) 773-3794
(207) 772-1011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2765
ME
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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