Individual
DR. BRADLEY G NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5215 W VILLAGE PKWY, ROGERS, AR 72758-8104
(479) 715-6845
(479) 715-6851
Mailing address
5215 W VILLAGE PKWY, ROGERS, AR 72758-8104
(479) 715-6845
(479) 715-6851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4089
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221300608
—
AR
Enumeration date
06/15/2016
Last updated
07/21/2022
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