Robert Alan Nelson, DDS

General Practice Dentistry · Crystal Lake, IL

Individual Active NPI

NPI number 1144326620

Practice location

185 Heritage Dr
Crystal Lake, IL 60014-8068
Phone
(815) 459-8290
Fax
(815) 444-1995

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NPI record

NPI
1144326620
Entity type
Individual (Type 1)
Enumeration date
September 15, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19-16155 IL

Mailing address

975 Barlina Rd
Crystal Lake, IL 60014-8321
Phone
(815) 459-8632

About Dr. Nelson

Robert Alan Nelson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 185 Heritage Dr, Crystal Lake, IL 60014-8068. The NPI number 1144326620 was assigned on September 15, 2006 and the record was last updated on July 8, 2007.

Dr. Nelson lists a license in the registry: #19-16155 (IL) 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 Robert Alan Nelson, DDS?

The NPI number is 1144326620.

What is the phone number of Dr. Nelson?

The phone number listed for the practice location is (815) 459-8290.

Where is Dr. Nelson located?

185 Heritage Dr, Crystal Lake, IL 60014-8068.

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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