Jon Gregorie Nelson, D.D.S

General Practice Dentistry · Superior, WI

Individual Active NPI

NPI number 1003982406

Practice location

418 23rd Ave E
Superior, WI 54880-3707
Phone
(715) 398-3239
Fax
(715) 398-5799

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NPI record

NPI
1003982406
Entity type
Individual (Type 1)
Enumeration date
November 28, 2006
Last updated
March 30, 2021
Certified
March 30, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X WI 3898 WI

About Dr. Nelson

Jon Gregorie Nelson, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 418 23rd Ave E, Superior, WI 54880-3707. The NPI number 1003982406 was assigned on November 28, 2006 and the record was last updated on March 30, 2021.

Dr. Nelson lists a license in the registry: #WI 3898 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Gregorie Nelson, D.D.S?

The NPI number is 1003982406.

What is the phone number of Dr. Nelson?

The phone number listed for the practice location is (715) 398-3239.

Where is Dr. Nelson located?

418 23rd Ave E, Superior, WI 54880-3707.

What is the taxonomy code for Dr. Nelson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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