Healthcare Provider Details

I. General information

NPI: 1982830501
Provider Name (Legal Business Name): ALISON MCGEE NELSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON KATHERINE MCGEE DDS

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 W SUNSHINE ST
SPRINGFIELD MO
65807-2240
US

IV. Provider business mailing address

1900 W SUNSHINE ST
SPRINGFIELD MO
65807-2240
US

V. Phone/Fax

Practice location:
  • Phone: 417-862-7041
  • Fax:
Mailing address:
  • Phone: 417-862-7041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30-022990
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2901020175
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number20112004102
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30-022990
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: