Organization
MICHAEL F NELSON DDS PC
Active
Other names
Nelson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FREDERIC NELSON DDS (OWNER)
(702) 433-0070
Entity
Organization
Contact information
Practice address
6169 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89118-3231
(702) 433-0070
(702) 876-3762
Mailing address
6169 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89118-3231
(702) 433-0070
(702) 876-3762
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
S647
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S383C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558385617
INDIVIDUAL NPI NUMBER
NV
Enumeration date
11/04/2008
Last updated
11/04/2008
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