1700954518

Everything you always wanted to know about NELSON J GARY DMD but were afraid to ask.

NELSON J GARY DMD

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
NELSON J GARY DMD
Gender:
Male
Enumeration date:
2006-12-01
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
61161 Other BLUE CROSS ID
1465021 Other UNITED CONCORDIA ID

Taxonomies

Taxonomy State License Number Primary?
1223G0001X General Practice ID D-3631 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2085224700
Practice Location Address Telephone Number 2085224700
Mailing Address Fax Number 2085225416
Practice Location Address Fax Number 2085225416

Addresses

Type Address City State Postal Country
Mailing Address 3350 S 15TH E IDAHO FALLS ID 83404 ID
Practice Location Address 3350 S 15TH E IDAHO FALLS ID 83404 ID

Other NPI Records that share a phone number

NPI Name Address State City
1033443478 SOFT TOUCH DENTAL
Organization
3350 S 15 TH E ID IDAHO FALLS
1336498120 RICHARD DEE STOKER D.M.D., PLL
Organization
3350 S 15TH E ID IDAHO FALLS

Other NPI Records that share an address

NPI Name Address State City
1033443478 SOFT TOUCH DENTAL
Organization
3350 S 15 TH E ID IDAHO FALLS
1336498120 RICHARD DEE STOKER D.M.D., PLL
Organization
3350 S 15TH E ID IDAHO FALLS

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NPI Name Address State City Identifier types that matches
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135 SKAGGS BUILDING MT MISSOULA Identifier: 61161 (Other)