Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BC NELSON, DDS
ActiveDental Public Health · STAYTON, OR
Registration Details
- NPI Number
- 1083600712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2005 (20.566289317071 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D6700 (OR)
Practice Information
- Address
-
470 E WASHINGTON STSTAYTON, OR, 973831837Browse OR providers · Browse ZIP 97383
- Phone
- 5037695210
- Primary Specialty
-
Dental Public Health
1223D0001X
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.