Doctor Name: | DON NELSON |
NPI Number: | 1285734020 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. , M.S.D. |
License Number: | 1954 |
Business Practice Address: | 107 H Street East Poplar, MT - 59255 |
Business Phone Number: | 4067683491 |
Business Fax Number: | 4067683423 |
Mailing Address: | Po Box 67, POPLAR |
State: | MT |
Postal Code: | 592550067 |
Phone Number: | 4067683491 |
Fax Number: | 4067683423 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 1954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |