Gregory Wayne Nelson in Rogers - Dentist
Gregory Wayne Nelson - NPI 1386715316
Gregory Wayne Nelson is a Dentist in Rogers, Minnesota. Gregory Wayne Nelson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregory Wayne Nelson is 1386715316. The last update date is 2019-07-02.
Gregory Wayne Nelson's current location address is 21410 136th Ave North Suite #109, Rogers, Minnesota. You can contact this provider via phone number 7634282217 and fax number 7634288586. The mailing address for Gregory Wayne Nelson is 21410 136th Ave North Suite #109, Rogers, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Wayne Nelson |
|---|---|
| Address | 21410 136th Ave North Suite #109, Rogers, Minnesota |
| Phone Number | 7634282217 |
| Fax Number | 7634288586 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1386715316 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2019-07-02 |
Provider Mailing Address Detail
| Address | 21410 136th Ave North Suite #109 |
|---|---|
| City | Rogers |
| State | Minnesota (MN) |
| Post Code | 55374 |
| Phone Number | 7634282217 |
| Fax Number | 7634288586 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D9395 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46466NE | MN | BCBS-MN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregory Wayne Nelson by the Centers for Medicare & Medicaid Services?
The Gregory Wayne Nelson has been issued the NPI (National Provider Identifier) 1386715316, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gregory Wayne Nelson is geographically located?
The Gregory Wayne Nelson is physically situated at the following location: 21410 136Th Ave North Suite #109, Rogers, MN, 55374.
What is Gregory Wayne Nelson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gregory Wayne Nelson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386715316 to Gregory Wayne Nelson?
The Gregory Wayne Nelson received its 1386715316 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date was the information regarding Gregory Wayne Nelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Wayne Nelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-02.