Provider Demographics
NPI:1285929158
Name:NELSON, STEVEN A (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:NELSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 FREEMAN RD STE A
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-2675
Mailing Address - Country:US
Mailing Address - Phone:541-664-8300
Mailing Address - Fax:541-664-8301
Practice Address - Street 1:98 FREEMAN RD STE A
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2675
Practice Address - Country:US
Practice Address - Phone:541-664-8300
Practice Address - Fax:541-664-8301
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-18
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist