Jay Andrew Nelson, D.m.d., P.a. | |
26907 Foggy Creek Rd Ste 101 Wesley Chapel FL 33544-6778 | |
(813) 733-4169 | |
(888) 977-1984 |
Full Name | Jay Andrew Nelson, D.m.d., P.a. |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 26907 Foggy Creek Rd Ste 101, Wesley Chapel, Florida |
Authorized Official Name and Position | Jay A Nelson (OWNER) |
Authorized Official Contact | 8137334169 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jay Andrew Nelson, D.m.d., P.a. 26907 Foggy Creek Rd Ste 101 Wesley Chapel FL 33544-6778 Ph: (813) 733-4169 | Jay Andrew Nelson, D.m.d., P.a. 26907 Foggy Creek Rd Ste 101 Wesley Chapel FL 33544-6778 Ph: (813) 733-4169 |
NPI Number | 1164721510 |
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Provider Enumeration Date | 03/24/2011 |
Last Update Date | 08/24/2021 |
Medicare PECOS PAC ID | 3476736661 |
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Medicare Enrollment ID | O20110325000154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164721510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN10809 (Florida) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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