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NPI Code Detail

MEDICARE: DR. PAUL A NELSON DDS MSD

MEDICARE: DR. PAUL A NELSON DDS MSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry6874WA

General Provider Information

NPI Number : 1548398407
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL A NELSON DDS MSD
Provider Business Mailing Address
First Line : 7556 15TH AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98117-5409
Country : US
Telephone Number : 206-784-5372
Fax Number : 206-784-6389
Provider Business Practice Location Address
First Line : 7556 15TH AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98117-5409
Country : US
Telephone Number : 206-784-5372
Fax Number : 206-784-6389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL A NELSON DDS MSD” Practice Location

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