Dane Nelson, D.D.S.

Dentist · Great Lakes, IL

Individual Active NPI

NPI number 1629427182

Practice location

2410 Sampson St
Captain James a. Lovell Federal Health Care Center
Great Lakes, IL 60088-2942
Phone
(651) 226-3562

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NPI record

NPI
1629427182
Entity type
Individual (Type 1)
Enumeration date
June 6, 2016
Last updated
June 6, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D13673 MN

Mailing address

1575 Oak Ave Apt 12
Evanston, IL 60201-4249

About Dr. Nelson

Dane Nelson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2410 Sampson St, Captain James a. Lovell Federal Health Care Center, Great Lakes, IL 60088-2942. The NPI number 1629427182 was assigned on June 6, 2016 and the record was last updated on June 6, 2016.

Dr. Nelson lists a license in the registry: #D13673 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

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

The NPI number is 1629427182.

What is the phone number of Dr. Nelson?

The phone number listed for the practice location is (651) 226-3562.

Where is Dr. Nelson located?

2410 Sampson St, Captain James a. Lovell Federal Health Care Center, Great Lakes, IL 60088-2942.

What is the taxonomy code for Dr. Nelson?

The primary taxonomy code is 122300000X – Dentist.

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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