Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL D NELSON, D.D.S.
ActiveDR. MICHAEL D NELSON, D.D.S. is a Dentist healthcare provider located in GRANGEVILLE, Idaho. NPI 1417136474 is currently active in the NPPES registry. Verify at CMS.
Dentist · GRANGEVILLE, ID
Registration Details
- NPI Number
- 1417136474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2007 (18.616734041197 yrs)
- Last Updated
- Feb 18, 2009
- Licenses
-
55899 (CA)D-4201 (ID)
Practice Information
- Address
-
412 W MAIN STGRANGEVILLE, ID, 835301447Browse ID providers · Browse ZIP 83530
- Phone
- 2089832422
- Fax
- 2089833404
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in GRANGEVILLE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. BRYAN JAMES PETERSEN | D.D.S. | 1205994373 |
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.