Jevae Leniece Nelson, DDS, DMSC

Dentist · Tucker, GA

Individual Active NPI

NPI number 1225527914

Practice location

4070 Lavista Rd Unit 102
Tucker, GA 30084-5228
Phone
(770) 515-8532

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NPI record

NPI
1225527914
Entity type
Individual (Type 1)
Enumeration date
May 8, 2018
Last updated
February 3, 2022
Certified
February 3, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN122573 GA
General Practice Dentistry 1223G0001X DN1857897 MA

Mailing address

2554 Sibley Dr NE
Atlanta, GA 30324-3104
Phone
(816) 304-0482

Other practice locations (1)

  • 55 Dimock St, Roxbury, MA 02119-1029 · (161) 744-2880

About Dr. Nelson

Jevae Leniece Nelson, DDS, DMSC is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4070 Lavista Rd Unit 102, Tucker, GA 30084-5228. The NPI number 1225527914 was assigned on May 8, 2018 and the record was last updated on February 3, 2022.

Dr. Nelson lists 2 licenses in the registry: #DN122573 (GA) for Dentist; #DN1857897 (MA) 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 Jevae Leniece Nelson, DDS, DMSC?

The NPI number is 1225527914.

What is the phone number of Dr. Nelson?

The phone number listed for the practice location is (770) 515-8532.

Where is Dr. Nelson located?

4070 Lavista Rd Unit 102, Tucker, GA 30084-5228.

What is the taxonomy code for Dr. Nelson?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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