Organization
NELSON FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H. NELSON D.D.S. (PARTNER)
(507) 433-9515
Entity
Organization
Contact information
Practice address
205 6TH PL NW, AUSTIN, MN 55912-3025
(507) 433-9515
(507) 434-0254
Mailing address
205 6TH PL NW, AUSTIN, MN 55912-3025
(507) 433-9515
(507) 434-0254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035
HEALTH PARTNERS IDENTIFIE
MN
01
—
124L8NE
BCBS IDENTIFIER
MN
Enumeration date
10/13/2005
Last updated
08/22/2020
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