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NPI Code Detail

MEDICARE: BRETT NIELSEN D.D.S.

MEDICARE:   BRETT  NIELSEN  D.D.S.
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
1122300000XDentist20458TX

General Provider Information

NPI Number : 1467532580
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT NIELSEN D.D.S.
Provider Business Mailing Address
First Line : 2317 W UNIVERSITY DR
Second Line : SUITE B-8
City : DENTON
State : TX
Zip : 76201-1600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2317 W UNIVERSITY DR
Second Line : SUITE B-8
City : DENTON
State : TX
Zip : 76201-1600
Country : US
Telephone Number : 940-566-0127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/08/2007

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Directions to “ BRETT NIELSEN D.D.S.” Practice Location

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