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NPI Code Detail

MEDICARE: BEVERLY PRESLEY-NELSON, DDS, PC

MEDICARE: BEVERLY PRESLEY-NELSON, DDS, PC
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
1122300000XDentistDC30807CA

General Provider Information

NPI Number : 1396750097
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEVERLY PRESLEY-NELSON, DDS, PC
Provider Business Mailing Address
First Line : 98 MADRONE AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94127-1122
Country : US
Telephone Number : 415-271-1213
Fax Number : 415-753-3873
Provider Business Practice Location Address
First Line : 1749 TARAVAL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-2308
Country : US
Telephone Number : 415-753-0790
Fax Number : 415-682-9158
Authorized Official
Title or Position : BUSINESS MANAGER
Name : GARY R PRESLEY-NELSON
Credential :
Telephone Number : 415-271-1213
Provider Enumeration Date : 07/30/2006
Last Update Date : 08/22/2020

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Directions to “BEVERLY PRESLEY-NELSON, DDS, PC ” Practice Location

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