Organization
NELSON FAMILY DENTISTRY
Active
Parent organization
JEFFREY R. NELSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFREY R. NELSON
Authorized official
DR. JEFFREY R NELSON D.D.S. (OWNER/DENTIST)
(580) 564-9994
Entity
Organization
Contact information
Practice address
1109 HIGHWAY 70 N, KINGSTON, OK 73439-8232
(580) 564-9994
Mailing address
1109 HIGHWAY 70 N, KINGSTON, OK 73439-8232
(580) 564-9994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5238
OK
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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