Individual
DR. NICOLE HARRIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1013 SPRING LN, SANFORD, NC 27330
(919) 718-5561
Mailing address
3325 DURHAM CHAPEL HILL BLVD STE 303, DURHAM, NC 27707-2646
(919) 489-0497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21512
OH
1223G0001X
General Practice Dentistry
Primary
10511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942343108
DELTA DENTAL
NC
05
—
1942343108
—
NC
Enumeration date
02/15/2007
Last updated
08/20/2018
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