Organization
NELSON ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAUNCY NELSON (OWNER)
(910) 845-3900
Entity
Organization
Contact information
Practice address
5964 SIX FORKS RD # B, RALEIGH, NC 27609-3895
(919) 845-2900
(919) 845-2995
Mailing address
5964 SIX FORKS RD # B, RALEIGH, NC 27609-3895
(919) 845-2900
(919) 845-2995
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5991
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996428
—
NC
Enumeration date
03/19/2007
Last updated
08/22/2020
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