Search › Washington › 1223G0001X
Jacy Nelson, D.D.S
NPI 1225015977 · on the registry since 2005 · sole proprietor
Practice
- Address
- 14300 Se Petrovitsky Rd
Renton, WA 98058 - Phone
- (253) 852-0206
- Fax
- (253) 852-6351
- Organisation at this address
- Steven C Lockett Dmd
Fairwood Orthodontics
Charles R. Ingle Dds,Ps
Jacy C Nelson D.D.S., P.S.
House, Lee, Mast, Mcdonald And Nelson, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington