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Dr. Jack Andrew Nelson, OMFS
Oral and Maxillofacial Surgery (Dentist) in Hampton Bays, New York
NPI 1629166590

Jack Andrew Nelson is a Oral and Maxillofacial Surgery (Dentist) based in Hampton Bays, NY and is specialized in Oral and Maxillofacial Surgery. Jack Andrew Nelson practices in Hampton Bays, NY and has the professional credentials of OMFS. The NPI Number for Jack Andrew Nelson is 1629166590 and holds a License No. 0429341 (New York).

The current practice location address for Jack Andrew Nelson is 240 W Montauk Hwy, Hampton Bays, NY and can be reached out via phone at 631-728-1300 and via fax at 631-728-5165.

Location: 240 W Montauk Hwy, Hampton Bays, NY, 11946-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629166590
Provider Name
Jack Andrew Nelson
Credential
OMFS
Provider Entity Type
Individual
Gender
Male
Address
240 W Montauk Hwy, Hampton Bays, NY, 11946-3510
Phone Number
631-728-1300
Fax Number
631-728-5165
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01548470 05 NY
institution
Provider Business Practice Location Address Details
Address
240 W Montauk Hwy
City
Hampton Bays
State
New York
Zip
11946-3510
Phone Number
631-728-1300
Fax Number
631-728-5165
person
Provider Business Mailing Address Details
Address
240 W Montauk Hwy
City
Hampton Bays
State
New York
Zip
11946-3510
Phone Number
631-728-1300
Fax Number
631-728-5165
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0429341 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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