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Dr. Gary Randall Nelson, DDS
Pediatric Dentist in Portland, Oregon
NPI 1598746687

Gary Randall Nelson is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Gary Randall Nelson practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Gary Randall Nelson is 1598746687 and holds a License No. 27908 (Oregon).

The current practice location address for Gary Randall Nelson is 2730 Sw Moody Ave, Portland, OR and can be reached out via phone at 503-346-4708.

Location: 2730 Sw Moody Ave, Portland, OR, 97201-5042
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Provider Profile Details
NPI Number
1598746687
Provider Name
Gary Randall Nelson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2730 Sw Moody Ave, Portland, OR, 97201-5042
Phone Number
503-346-4708
Fax Number
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2730 Sw Moody Ave
City
State
Zip
97201-5042
Phone Number
503-346-4708
Fax Number
person
Provider Business Mailing Address Details
Address
2730 Sw Moody Ave
City
State
Zip
97201-5042
Phone Number
503-346-4708
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
27908 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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