Organization
ELIZABETH NELSON DMD PC
Active
Organization
ELIZABETH NELSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CRAFT NELSON DMD (OWNER)
(802) 524-5169
Entity
Organization
Contact information
Practice address
10 MAPLEVILLE DEPOT, ST. ALBANS, VT 05478
(802) 524-5169
(802) 527-7184
Mailing address
10 MAPLEVILLE DEPOT, ST. ALBANS, VT 05478
(802) 524-5169
(802) 527-7184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0002003
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568401198
NPI TYPE 1
—
Enumeration date
04/19/2007
Last updated
08/22/2020
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