Jon Gregorie Nelson D.D.S

NPI 1003982406 - Dentist - 1223G0001X

NPI Details
NPI 1003982406
Gender Male
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
418 23RD AVE E
SUPERIOR WI, 54880-3707, US
Phone (715) 398-3239
Fax (715) 398-5799
Business Location
418 23RD AVE E
SUPERIOR WI, 54880-3707, US
Phone (715) 398-3239
Fax (715) 398-5799
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number WI 3898
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According to our database, Dr. Jon Gregorie Nelson D.D.S NPI is 1003982406, taxonomy code is 1223G0001X and license number is WI 3898, license state is located at Wisconsin. Jon Gregorie Nelson D.D.S physically located at 418 23rd Ave E, Superior WI, 54880-3707. NPI Number Jon Gregorie Nelson D.D.S has the Individual type.

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1003982406 NPI number is provided on an as is basis without warranty of any kind. 1003982406 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Gregorie Nelson D.D.S are for informational purposes only.