Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN BLAKE NELSON, DDS
ActiveDR. ETHAN BLAKE NELSON, DDS is a General Dentistry healthcare provider located in EDENTON, North Carolina. NPI 1033320833 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · EDENTON, NC
Registration Details
- NPI Number
- 1033320833
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2007 (19.079313420626 yrs)
- Last Updated
- Jul 8, 2007
- License
-
8393 (NC)
Practice Information
- Address
-
103 MARK DREDENTON, NC, 279321704Browse NC providers · Browse ZIP 27932
- Phone
- 2524825131
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in EDENTON, NC
| Name | Credential | NPI |
|---|---|---|
| DR. LONNIE V SIECK | DDS | 1316982937 |
| PAUL STEPHEN RICHMOND | DDS | 1225164734 |
| DR. CHRISTOPHER HALEY KOPPELMAN | DDS | 1659492874 |
| DR. JALISA B. PARRISH | DDS | 1275986846 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.