Search › Georgia › 122300000X
Jevae Nelson, DDS, DMSC
NPI 1225527914 · on the registry since 2018
Practice
- Address
- 4070 Lavista Rd Unit 102
Tucker, GA 30084 - Phone
- (770) 515-8532
- Clinicians at this address
- 3
Additional practice sites
- 55 Dimock St, Roxbury, MA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- GA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-03
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 Georgia