James W Nelson DDS, S.C.
Organization Active NPI General Practice Dentistry · Rio, WI
NPI 1811032162 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1811032162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5001423-015 (WI)
- Legal business name
- JAMES W NELSON DDS, S.C.
- Practice address
- 315 Union St.
Rio, WI 53960-0218 - Phone
- (920) 992-3500
- Fax
- (920) 992-5115
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James Wayne Nelson, DDS
- Title
- President
- Phone
- (920) 992-3500
Practitioners 1
-
James Wayne Nelson, DDS
National Provider Directory
Locations
315 Union St
Rio, WI 53960
Phone (920) 992-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 5001423-015 | WI | Yes |
Addresses
Primary practice location
315 Union St.
Rio, WI 53960-0218
Mailing address
P.O. Box 218
315 Union St
Rio, WI 53960-0218
Phone (920) 992-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33659700 | Medicaid | WI |
Other providers in Rio, WI
- Katie Bortz
- Cassie Frank
- Elizabeth Jenkins
- Sylvia Lechnir
- Kristen C Mabie
- MD Group II LLC
- James Wayne Nelson
All providers in Rio, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.