Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN RAY NELSON, DMD
Active Sole ProprietorDentist · SANDPOINT, ID
Registration Details
- NPI Number
- 1588230403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2021 (4.8897662035335 yrs)
- Last Updated
- Oct 7, 2025
- Licenses
-
DE61164746 (WA)D-5579 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 W SUPERIOR STSANDPOINT, ID, 838641601Browse ID providers · Browse ZIP 83864
- Phone
- 2082638514
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in SANDPOINT, ID
| Name | Credential | NPI |
|---|---|---|
| MICHAEL GEORGE DURNIN | DDS | 1912084781 |
| JONI MACNEILL | DDS | 1619141579 |
| DR. JOHN JOSEPH WILSON | DDS | 1205182003 |
| DR. KAITLIN REBECCA GAGNON | DMD | 1467145169 |
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.