Individual
DR. JOHN WILLIAM NELSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.P.A.
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2100
Mailing address
310 W 49TH ST, APT 405, KANSAS CITY, MO 64112-2515
(816) 753-9775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13688
MO
Other
Enumeration date
05/23/2005
Last updated
11/28/2012
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