Individual
DR. CRAIG LIVEZEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
VA HEALTH CARE SYSTEM, 10,000 BAY PINES BOULVARD, SAINT PETERSBURG, FL 33708
(727) 398-9396
(727) 319-1146
Mailing address
1257 WATERFRONT DRIVE, MOUNT PLEASANT, SC 29464-9494
(843) 849-7046
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
3340
SC
1223P0700X
Prosthodontics
Primary
475
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3340
DENTAL LICENSE
SC
Enumeration date
07/13/2006
Last updated
09/11/2025
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