DR. BRUCE LEE NELSON (NPI# 1073795993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073795993 |
| Entity Type | Individual |
| Full Name | DR. BRUCE LEE NELSON |
| Credential | DDS |
| Practice Address |
1776 E Glendale Ave Phoenix AZ 85020-5505 |
| Practice Telephone | 6026784500 |
| Practice Fax Number | 6023313552 |
| Mailing Telephone | 6026784500 |
| Mailing Fax Number | 6023313552 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2293 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762810 | Bruce Paul Nelson | Massage Therapist | 4007 Old Seward Hwy Ste 1000, Anchorage, AK 99503-6065 | 2017-10-25 |
| 1659379253 | Bruce Neal Nelson | Specialist | 135 Cumberland Rd, Ste. 202, Pittsburgh, PA 15237-5447 | 2005-07-08 |
| 1841593035 | Bruce Allen Nelson | Social Worker | 200 Ter Heun Dr, Falmouth, MA 02540-2525 | 2010-12-10 |
| 1962633644 | Bruce C. Nelson | Social Worker | 4815 N Assembly St, Spokane, WA 99205-6185 | 2009-07-29 |
| 1609951946 | Bruce Allen Nelson | Psychologist | 1500 Mcandrews Rd W, Ste 240, Burnsville, MN 55337-4432 | 2006-10-26 |
| 1740377621 | Bruce R. Nelson | Dermatology | 7737 Southwest Fwy, Suite 930, Houston, TX 77074-1818 | 2006-10-10 |
| 1164440749 | Bruce A Nelson | Ophthalmology | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2006-07-18 |
| 1962445312 | Bruce Franklin Nelson | Psychologist | 113 Holland Ave, Albany, NY 12208-3410 | 2006-06-14 |
| 1194799692 | Bruce A Nelson | Family Medicine | 2925 Sycamore Dr, Suite 204/205, Simi Valley, CA 93065-1207 | 2006-02-14 |
| 1649269614 | Bruce Leslie Nelson | Internal Medicine | 26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384 | 2005-10-20 |
| Street Address |
1776 E GLENDALE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407987027 | Bruce L. Nelson, Dds, PC | Dentist | 1776 E Glendale Ave, Phoenix, AZ 85020-5505 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
| 1912516535 | Ford Calaway Dentistry & Orthodontics LLC | Dentist | 2111 E Highland Ave Ste B, Phoenix, AZ 85016-4741 | 2020-07-29 |
| 1568085637 | Family Dental Phoenix | Dentist | 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621 | 2020-05-24 |
| 1699308866 | Signature Dental Partners LLC | Dentist | 410 N 44th St Ste 290, Phoenix, AZ 85008-7622 | 2020-02-17 |
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1831748532 | Benjamin Paul Chalom Baranes | Dentist | 5225 N 19th Ave Ste C, Phoenix, AZ 85015-2903 | 2019-09-05 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1376101188 | Bethany Helen Armendariz | Dentist | 4757 E Greenway Rd # Set108, Phoenix, AZ 85032-8513 | 2019-06-05 |
| 1851958300 | Smile Dental Studio | Dentist | 10209 N 35th Ave Ste 129, Phoenix, AZ 85051-9619 | 2019-05-21 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. BRUCE LEE NELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.