Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACY CRAIG NELSON, D.D.S.
Active Sole ProprietorDR. JACY CRAIG NELSON, D.D.S. is a General Dentistry healthcare provider located in RENTON, Washington. NPI 1225015977 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RENTON, WA
Registration Details
- NPI Number
- 1225015977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2005 (20.457527915467 yrs)
- Last Updated
- Jul 21, 2016
- License
-
DE00009342 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19221 108TH AVE SESUITE 2RENTON, WA, 980557369Browse WA providers · Browse ZIP 98055
- Phone
- 2538520206
- Fax
- 2538526351
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in RENTON, WA
| Name | Credential | NPI |
|---|---|---|
| DR. KIRK E KING | DDS | 1497758148 |
| THOMAS A CASPERS | DDS | 1770510992 |
| DR. CALEN H. BROADBENT | DMD | 1841219946 |
| DR. KEVIN T LE | — | 1194748889 |
| DR. THANH DUNG NGOC NGUYEN | D.M.D. | 1013931120 |
| DR. DAVID YOUNGMAN ISENBERG | DDS | 1588678072 |
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.