Organization
JAMES W NELSON DDS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WAYNE NELSON DDS (PRESIDENT)
(920) 992-3500
Entity
Organization
Contact information
Practice address
315 UNION ST., RIO, WI 53960-0218
(920) 992-3500
(920) 992-5115
Mailing address
P.O. BOX 218, 315 UNION ST, RIO, WI 53960-0218
(920) 992-3500
(920) 992-5115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001423-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33659700
—
WI
Enumeration date
02/21/2007
Last updated
08/22/2020
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