Michael S. Nelson

NPI #1497957740 in Berryville, Arkansas

Provider Information

NPI Number: 1497957740
Entity Type: Organization
Organization Name: Michael S. Nelson
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 31, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 605 EUREKA AVE
Address 2: SUITE C
City: Berryville
State: Arkansas
ZIP Code: 72616-3839
Phone: (870) 423-4042

Authorized Official

Name: PATRICIA L. WEBB
Title: BUSINESS MANAGER
Phone: (479) 521-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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