DR. Jevae Leniece Nelson, DDS, DMSC

NPI #1225527914 in Tucker, Georgia

Provider Information

NPI Number: 1225527914
Entity Type: Individual
Name: DR. Jevae Leniece Nelson, DDS, DMSC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS, DMSC
Enumeration Date: May 8, 2018
Last Updated: Feb 3, 2022

Practice Location

Address: 4070 LAVISTA RD UNIT 102
City: Tucker
State: Georgia
ZIP Code: 30084-5228
Phone: (770) 515-8532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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