Jon Gregorie Nelson in Superior - General Practice
Jon Gregorie Nelson - NPI 1003982406
Jon Gregorie Nelson is a General Practice in Superior, Wisconsin. Jon Gregorie Nelson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jon Gregorie Nelson is 1003982406. The last update date is 2021-03-30.
Jon Gregorie Nelson's current location address is 418 23rd Ave E, Superior, Wisconsin. You can contact this provider via phone number 7153983239 and fax number 7153985799. The mailing address for Jon Gregorie Nelson is 418 23rd Ave E, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Gregorie Nelson |
|---|---|
| Address | 418 23rd Ave E, Superior, Wisconsin |
| Phone Number | 7153983239 |
| Fax Number | 7153985799 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1003982406 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 418 23rd Ave E |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548803707 |
| Phone Number | 7153983239 |
| Fax Number | 7153985799 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | WI 3898 |
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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 |
|---|---|---|---|
| 33679400 | WI | -- | |
| 437434 | WI | UNITED CONCORDIA | |
| WI 3898 | WI | LICENSE | |
| 06508NE | MN | BCBS MN IDENTIFIER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jon Gregorie Nelson by the Centers for Medicare & Medicaid Services?
The Jon Gregorie Nelson has been assigned the NPI (National Provider Identifier) 1003982406 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jon Gregorie Nelson is located?
The Jon Gregorie Nelson is situated at the following address: 418 23Rd Ave E, Superior, WI, 548803707.
What is Jon Gregorie Nelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jon Gregorie Nelson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003982406 to Jon Gregorie Nelson?
The Centers for Medicare & Medicaid Services assigned the 1003982406 to Jon Gregorie Nelson on 2006-11-28.
As of what date was the information regarding Jon Gregorie Nelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jon Gregorie Nelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-30.