Nelson Family Dentistry

NPI #1649445453 in Kingston, Oklahoma

Provider Information

NPI Number: 1649445453
Entity Type: Organization
Organization Name: Nelson Family Dentistry
Subpart: Yes (part of a larger organization)
Parent Organization: JEFFREY R. NELSON
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2008
Last Updated: Apr 23, 2008

Practice Location

Address: 1109 HIGHWAY 70 N
City: Kingston
State: Oklahoma
ZIP Code: 73439-8232
Phone: (580) 564-9994

Authorized Official

Name: DR. JEFFREY R NELSON, D.D.S.
Title: OWNER/DENTIST
Phone: (580) 564-9994

Specialties & Taxonomy Codes

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

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