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Organization

STEVEN R. NELSON, DDS, LLC

Active
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Organization

STEVEN R. NELSON, DDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN RICHARD NELSON DDS, MS (OWNER)
(303) 758-6850
Entity
Organization

Contact information

Practice address
6850 E HAMPDEN AVE, SUITE 202, DENVER, CO 80224-3024
(303) 758-6850
(303) 758-0729
Mailing address
6850 E HAMPDEN AVE, SUITE 202, DENVER, CO 80224-3024
(303) 758-6850
(303) 758-0729

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6819
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB1835
MEDICARE PTAN
CO
Enumeration date
04/18/2011
Last updated
04/18/2011
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