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Dr. Jon Gregorie Nelson, DDS
General Practice Dentistry in Superior, Wisconsin
NPI 1003982406

Jon Gregorie Nelson is a General Practice Dentistry based in Superior, WI and is specialized in General Practice. Jon Gregorie Nelson practices in Superior, WI and has the professional credentials of DDS. The NPI Number for Jon Gregorie Nelson is 1003982406 and holds a License No. WI 3898 (Wisconsin).

The current practice location address for Jon Gregorie Nelson is 418 23Rd Ave E, Superior, WI and can be reached out via phone at 715-398-3239 and via fax at 715-398-5799.

Location: 418 23Rd Ave E, Superior, WI, 54880-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003982406
Provider Name
Jon Gregorie Nelson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
418 23Rd Ave E, Superior, WI, 54880-3707
Phone Number
715-398-3239
Fax Number
715-398-5799
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33679400 05 WI
437434 01 WI UNITED CONCORDIA
WI 3898 01 WI LICENSE
06508NE 01 MN BCBS MN IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
418 23Rd Ave E
City
Superior
State
Wisconsin
Zip
54880-3707
Phone Number
715-398-3239
Fax Number
715-398-5799
person
Provider Business Mailing Address Details
Address
418 23Rd Ave E
City
Superior
State
Wisconsin
Zip
54880-3707
Phone Number
715-398-3239
Fax Number
715-398-5799
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
WI 3898 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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