NELSON FAMILY DENTISTRY (NPI# 1649445453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649445453 |
| Entity Type | Organization |
| Organization Name | NELSON FAMILY DENTISTRY |
| Practice Address |
1109 Highway 70 N Kingston OK 73439-8232 |
| Practice Telephone | 5805649994 |
| Mailing Telephone | 5805649994 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DR. JEFFREY R NELSON (OWNER/DENTIST) |
| Authorized Official Telephone | 5805649994 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFREY R. NELSON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5238 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 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 |
1109 HIGHWAY 70 N |
| City | KINGSTON |
| State | OK |
| Zip Code | 73439-8232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124149455 | Jeffrey Ray Nelson | Dentist | 1109 Highway 70 N, Kingston, OK 73439-8232 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489859 | Amanda Griffin | Behavior Technician | 9236 Polvadore Drive, Kingston, OK 73439 | 2020-02-13 |
| 1659837102 | Sheriden Cheyenne Franks | Pharmacist | 7 North Main Street, Kingston, OK 73439 | 2019-02-20 |
| 1275061467 | Ayandeh Health LLC | Nurse Practitioner | 7 N Main Street, Kingston, OK 73439 | 2017-06-01 |
| 1720526437 | Tammy Lynn Williams | Nurse Practitioner | 7 N Main, Kingston, OK 73439 | 2017-02-02 |
| 1053774794 | Tressa Antionette Matchen | Nurse Practitioner | 701 East Hwy 70 Alliance Health Medical Group, Kingston, OK 73439 | 2016-03-31 |
| 1932577277 | Laura Kay Gleaves | Counselor | 717 B Hwy E, Kingston, OK 73439 | 2015-09-03 |
| 1346622099 | Alicia Thompson | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-18 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1518373513 | Dana Boldt Green, M.ed., Lpc, Ncgc-2, PC | Community/Behavioral Health | 8800 Birch St, Kingston, OK 73439 | 2014-07-10 |
| 1205131554 | Marie Morrison Bramlett | Counselor | 400 Ne 3rd St, Kingston, OK 73439 | 2011-01-18 |
| Find all providers in zip 73439 | ||||
| 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 |
|---|---|---|---|---|
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1164041935 | Paige Backenstose | Dentist | 139 Pine St Ste 210, Kingston, NY 12401-4901 | 2020-04-13 |
| 1457994568 | Stephen Brand | Dentist | 401 Market St Ste 102, Kingston, PA 18704-5417 | 2019-10-21 |
| 1942657291 | Dr Lily Zhang, Dmd | Dentist | 150 Hurley Ave, Kingston, NY 12401-2812 | 2016-05-17 |
| 1346677630 | Sean M Couch Dds Ps | Dentist | 25985 Barber Cut Off Rd Ne, Suite B2, Kingston, WA 98346-9596 | 2013-10-01 |
| 1942476254 | Andrew L. Lee | Dentist | 1159 Ulster Ave, Aspen Dental, Kingston, NY 12401-1513 | 2008-05-06 |
| 1700073921 | Bharat C Patel | Dentist | 76 Maiden Ln, Kingston, NY 12401-4508 | 2007-10-02 |
| 1699971655 | Vincent D Gorman | Dentist | 1105 Locust St, Kingston, NY 12401-1038 | 2007-06-26 |
| 1447478474 | Daniel J Thacker | Dentist | 26114 Illinois Avenue, Suite A, Kingston, WA 98346-0149 | 2007-04-23 |
| 1356463582 | Sikander Hayat Mirza | Dentist | 622 Broad Way, Kingston, NY 12402-2557 | 2007-04-06 |
| Find all providers in KINGSTON | ||||
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.