Individual
THOMAS R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
149 SKYLAND BLVD, TUSCALOOSA, AL 35405-4014
(205) 345-8859
(205) 967-0402
Mailing address
3348 SANDHURST RD, BIRMINGHAM, AL 35223-2806
(205) 967-9466
(205) 967-0402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3446
AL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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