Michael John Nelson, D.D.S
NPI #1235271578 in Fort Gibson, Oklahoma
Provider Information
- NPI Number
- 1235271578
- Entity Type
- Individual
- Name
- Michael John Nelson, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 801 S LEE ST
- Address 2
- SUITE A
- City
- Fort Gibson
- State
- Oklahoma
- ZIP Code
- 74434-8710
- Phone
- (918) 478-4433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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