Individual
DR. JOSEPH NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7006 S CENTRAL AVE, PHOENIX, AZ 85042-5423
(602) 276-1029
(602) 276-1838
Mailing address
7006 S CENTRAL AVE, PHOENIX, AZ 85042-5423
(602) 276-1029
(602) 276-1838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5981
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHCCCS
824484
AZ
Enumeration date
04/13/2006
Last updated
07/31/2013
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