Individual
JONATHAN WILLIAM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2779 W 4000 S STE 101, ROY, UT 84067-9603
(801) 731-5528
Mailing address
1943 S 875 E, CLEARFIELD, UT 84015-6265
(801) 731-5528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14290632-9923
UT
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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