Dr Steven F Nielsen DDS PA

NPI #1194774109 in Shelley, Idaho

Provider Information

NPI Number: 1194774109
Entity Type: Organization
Organization Name: Dr Steven F Nielsen DDS PA
Primary Specialty: Dentist
Enumeration Date: May 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 371 W FIR ST
City: Shelley
State: Idaho
ZIP Code: 83274-1456
Phone: (208) 357-7611

Authorized Official

Name: DR. STEVEN F NIELSEN, D.D.S.
Title: HALF OWNER
Phone: (208) 357-7611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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