Craig Lee Nelson in Lagrange - General Practice
Craig Lee Nelson - NPI 1396950176
Craig Lee Nelson is a General Practice in Lagrange, Indiana. Craig Lee Nelson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Craig Lee Nelson is 1396950176. The last update date is 2019-03-14.
Craig Lee Nelson's current location address is 405 Union St, Lagrange, Indiana. You can contact this provider via phone number 2604633123. The mailing address for Craig Lee Nelson is 405 Union St, Lagrange, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Lee Nelson |
|---|---|
| Address | 405 Union St, Lagrange, Indiana |
| Phone Number | 2604633123 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396950176 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2019-03-14 |
Provider Mailing Address Detail
| Address | 405 Union St |
|---|---|
| City | Lagrange |
| State | Indiana (IN) |
| Post Code | 467612234 |
| Phone Number | 2604633123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12006413A |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100159780A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Craig Lee Nelson?
The Craig Lee Nelson has been issued the NPI (National Provider Identifier) 1396950176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Craig Lee Nelson's physical address?
The Craig Lee Nelson is physically located at 405 Union St, in the city of Lagrange, IN, with the postal code 467612234.
What is Craig Lee Nelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Craig Lee Nelson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did Craig Lee Nelson receive its 1396950176 assignment?
The Craig Lee Nelson was assigned its 1396950176 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Craig Lee Nelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Craig Lee Nelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-14.