George Augustus Nelson in Trussville - Orthodontics And Dentofacial Orthopedics
George Augustus Nelson - NPI 1053393694
George Augustus Nelson is a Orthodontics And Dentofacial Orthopedics in Trussville, Alabama. George Augustus Nelson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for George Augustus Nelson is 1053393694. The last update date is 2012-02-09.
George Augustus Nelson's current location address is 4643 Camp Coleman Rd, Trussville, Alabama. You can contact this provider via phone number 2056550603 and fax number 2056550693. The mailing address for George Augustus Nelson is 4643 Camp Coleman Rd, Trussville, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | George Augustus Nelson |
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Address | 4643 Camp Coleman Rd, Trussville, Alabama |
Phone Number | 2056550603 |
Fax Number | 2056550693 |
Sole Proprietor | Y |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1053393694 |
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Provider Enumeration Date | 2005-11-18 |
Last Updated Date | 2012-02-09 |
Provider Mailing Address Detail
Address | 4643 Camp Coleman Rd |
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City | Trussville |
State | Alabama (AL) |
Post Code | 351732821 |
Phone Number | 2056550603 |
Fax Number | 2056550693 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 3186 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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510-94984 | AL | BCBS OF AL PROV. NUMBER | |
152289 | AL | UNITED CONCORDIA PROV # |
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What is the unique identification code assigned to George Augustus Nelson by the Centers for Medicare & Medicaid Services?
The George Augustus Nelson has been issued the NPI (National Provider Identifier) 1053393694. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the George Augustus Nelson's physical address?
The George Augustus Nelson is physically located at 4643 Camp Coleman Rd, in the city of Trussville, AL, with the postal code 351732821.
What is the area of specialization for George Augustus Nelson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for George Augustus Nelson is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the George Augustus Nelson receive the assignment of its 1053393694 from the Centers for Medicare & Medicaid Services?
The George Augustus Nelson was issued its 1053393694 by the Centers for Medicare & Medicaid Services on 2005-11-18.
When was the information regarding George Augustus Nelson most recently updated?
The details pertaining to the George Augustus Nelson, including its address, specialty, and other relevant information, were last refreshed on 2012-02-09.