Individual
MATTHEW JOHN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 W D.L. INGRAM, BLD. 1408, CANNON AFB, NM 88103
(575) 784-4041
Mailing address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 580-5010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-10503
CO
Other
Enumeration date
09/02/2011
Last updated
12/08/2025
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