Theodore R. Nelson, DDS, PC

General Practice Dentistry · S. Lancaster, MA

Organization Active NPI

NPI number 1992871586

Practice location

387 Sterling St
S. Lancaster, MA 01561
Phone
(978) 365-5302
Fax
(978) 598-7072

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NPI record

NPI
1992871586
Entity type
Organization (Type 2)
Enumeration date
November 27, 2006
Last updated
March 25, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 16384 MA

Mailing address

PO Box 607
S Lancaster, MA 01561-0607
Phone
(978) 365-5302
Fax
(978) 598-7072

Authorized official

Name
Theodore R. Nelson, DDS
Title
President CEO
Phone
(978) 365-5302

Other names

  • Theodore R Nelson DDS

About Theodore R. Nelson, DDS, PC

Theodore R. Nelson, DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 387 Sterling St, S. Lancaster, MA 01561. The NPI number 1992871586 was assigned on November 27, 2006 and the record was last updated on March 25, 2016.

Theodore R. Nelson, DDS, PC lists a license in the registry: #16384 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Theodore R. Nelson, DDS, President CEO.

Frequently asked questions

What is the NPI number of Theodore R. Nelson, DDS, PC?

The NPI number is 1992871586.

What is the phone number of Theodore R. Nelson, DDS, PC?

The phone number listed for the practice location is (978) 365-5302.

Where is Theodore R. Nelson, DDS, PC located?

387 Sterling St, S. Lancaster, MA 01561.

What is the taxonomy code for Theodore R. Nelson, DDS, PC?

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.