Provider Demographics
NPI:1457049249
Name:NELSON ENDODONTICS OF MURFREESBORO PLLC
Entity type:Organization
Organization Name:NELSON ENDODONTICS OF MURFREESBORO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-915-8716
Mailing Address - Street 1:1703 FIRST PL STE A
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1543
Mailing Address - Country:US
Mailing Address - Phone:615-890-2828
Mailing Address - Fax:
Practice Address - Street 1:1703 FIRST PL STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1543
Practice Address - Country:US
Practice Address - Phone:615-890-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental