NELSON FAMILY DENTISTRY (NPI# 1154878668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154878668 |
| Entity Type | Organization |
| Organization Name | NELSON FAMILY DENTISTRY |
| Practice Address |
19221 108th Ave Se Suite #2 Renton WA 98055 |
| Mailing Address |
19221 108th Ave Se Ste 2 Renton WA 98055-7369 |
| Practice Telephone | 2538520206 |
| Practice Fax Number | 2538525361 |
| Mailing Telephone | 2538520206 |
| Mailing Fax Number | 2538525361 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | DR. JACY C NELSON (DENTIST) |
| Authorized Official Telephone | 2538520206 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | NELSON FAMILY DENTISRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE9342 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649445453 | Nelson Family Dentistry | Dentist | 1109 Highway 70 N, Kingston, OK 73439-8232 | 2008-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Nelson Family Dentistry PLLC | 1136 E Stuart Street, Bldg 4 Suite 104, Fort Collins, CO 80525 |
| Street Address |
19221 108TH AVE SE SUITE #2 |
| City | RENTON |
| State | WA |
| Zip Code | 98055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| 1437390960 | Evelyn E.m.o Davies-venn | Audiologist | 4033 Talbot Rd So., #230, Renton, WA 98055 | 2009-03-12 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094148 | Dansie and Roberts Pllc | Dentist | 1620 Duvall Ave Ne Ste 200, Renton, WA 98059-3975 | 2020-08-18 |
| 1043837214 | David Chi | Dentist | 14250 Se 176th St, J7, Renton, WA 98058-8787 | 2020-07-02 |
| 1629521794 | Sandeep Singh | Dentist | 14915 Se 177th Pl, Apt # 22k, Renton, WA 98058-9073 | 2016-07-26 |
| 1619320900 | Philip N. Hodge, Dds, Ps | Dentist | 19221 108th Ave Se Ste 4, Renton, WA 98055-7369 | 2016-07-21 |
| 1962824730 | Chris Joon Lee | Dentist | 12644 164th Ave Se, Renton, WA 98059-6403 | 2014-01-14 |
| 1164863452 | Washington Dental Corporation, PC | Dentist | 955 Park Ave N Ste D, Renton, WA 98057-5560 | 2013-07-15 |
| 1013358340 | Pawandeep Kaur | Dentist | 1107 Sw Grady Way Ste 250, Renton, WA 98057-5209 | 2013-07-15 |
| 1386988913 | Fesehatsion Gebrehiwot | Dentist | 510 Stevens Ave Sw, Apt # O203, Renton, WA 98057-2379 | 2012-11-20 |
| 1982990891 | Brian Lynn Dansie | Dentist | 364 Renton Center Way Sw, Suite #62, Renton, WA 98057 | 2011-06-20 |
| 1639306822 | Michael A. Chiulli | Dentist | 555 S Renton Village Pl, Triton Towers One, Suite 610, Renton, WA 98057 | 2009-06-16 |
| Find all providers in RENTON | ||||
Please comment or provide details below to improve the information on NELSON FAMILY DENTISTRY.
| 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.