Search › Idaho › 122300000X
Michael Nelson, D.D.S
NPI 1417136474 · on the registry since 2007
Practice
- Address
- 412 W Main St
Grangeville, ID 83530 - Phone
- (208) 983-2422
- Fax
- (208) 983-3404
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-18
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 Idaho