Brock Jesse Nelson, DMD

General Practice Dentistry · Salem, OR

Individual Active NPI

NPI number 1295392926

Practice location

631 Jason St NE Ste 150
Salem, OR 97301-2750
Phone
(503) 854-0153

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NPI record

NPI
1295392926
Entity type
Individual (Type 1)
Enumeration date
May 29, 2019
Last updated
May 29, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11037 OR

About Dr. Nelson

Brock Jesse Nelson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 631 Jason St NE Ste 150, Salem, OR 97301-2750. The NPI number 1295392926 was assigned on May 29, 2019 and the record was last updated on May 29, 2019.

Dr. Nelson lists a license in the registry: #D11037 (OR) 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 Brock Jesse Nelson, DMD?

The NPI number is 1295392926.

What is the phone number of Dr. Nelson?

The phone number listed for the practice location is (503) 854-0153.

Where is Dr. Nelson located?

631 Jason St NE Ste 150, Salem, OR 97301-2750.

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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