Individual
DR. SHANE AARON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7001 W 121ST ST, OVERLAND PARK, KS 66209-2009
(913) 313-8428
(913) 906-0800
Mailing address
14973 OUTLOOK LN, OVERLAND PARK, KS 66223-2931
(913) 302-1478
(913) 897-9505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2016000952
MO
122300000X
Dentist
DN19850
FL
1223G0001X
General Practice Dentistry
Primary
7117
KS
Other
Enumeration date
02/21/2006
Last updated
07/09/2020
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