Organization
ASHEBORO FAMILY DENTISTRY
Active
Parent organization
LIONEL NELSON DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIONEL NELSON DENTISTRY
Authorized official
DR. LIONEL MATTHEW NELSON SR. DMD (OWNER)
(919) 489-0497
Entity
Organization
Contact information
Practice address
350 N. COX STREET, SUITE 11, ASHEBORO, NC 27203-5514
(336) 629-6488
(336) 629-4441
Mailing address
350 N. COX STREET, SUITE 11, ASHEBORO, NC 27203-5514
(336) 629-6488
(336) 629-4441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7158
NC
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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