Provider Demographics
NPI:1396121448
Name:NIELSEN DENTAL STUDIO
Entity type:Organization
Organization Name:NIELSEN DENTAL STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SHELDON
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-851-4440
Mailing Address - Street 1:2750 SOUTH PRESTON ROAD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009
Mailing Address - Country:US
Mailing Address - Phone:214-851-4440
Mailing Address - Fax:214-851-4442
Practice Address - Street 1:2750 SOUTH PRESTON ROAD
Practice Address - Street 2:SUITE 111
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009
Practice Address - Country:US
Practice Address - Phone:214-851-4440
Practice Address - Fax:214-851-4442
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VAN ALSTYNE DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX250801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty