Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN T. NELSON, D.D.S.

Active Sole Proprietor

DR. KEVIN T. NELSON, D.D.S. is a General Dentistry healthcare provider located in PEORIA, Illinois. NPI 1396810123 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PEORIA, IL

Registration Details

NPI Number: 1396810123
Provider Type: Individual
Gender: Male
NPI Issued: Nov 20, 2006 (19.74214649482 yrs)
Last Updated: Jul 8, 2007
Sole Proprietor: Yes

Practice Information

Address: 1116 W LOUCKS AVE

PEORIA, IL, 616042677
Browse IL providers · Browse ZIP 61604
Phone: 3096882112
Fax: 3096889776
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in PEORIA, IL

Name	Credential	NPI
DR. JAMES A MEAGHER	D.D.S	1174545974
DR. THOMAS R BOYD	DDS	1871516419
DR. GARY R. STAMM	D.D.S.	1710901020
DR. JOHN ROBERT SPIGELMYER	D.D.S.	1366452104
GLEN D. THOMPSON	DMD	1417967936
DR. THOMAS CHARLES FERLMANN	D.M.D.	1396858130

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.