| Peter S. Nelson, Dds, Pllc | |
|
5750 W Thunderbird Rd H850 Glendale AZ 85306-4660 | |
| (602) 938-0880 | |
| (602) 547-0528 |
| Full Name | Peter S. Nelson, Dds, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5750 W Thunderbird Rd, Glendale, Arizona |
| Authorized Official Name and Position | Peter S Nelson (OWNER) |
| Authorized Official Contact | 6029380880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter S. Nelson, Dds, Pllc 5750 W Thunderbird Rd H850 Glendale AZ 85306-4660 Ph: (602) 938-0880 | Peter S. Nelson, Dds, Pllc 5750 W Thunderbird Rd H850 Glendale AZ 85306-4660 Ph: (602) 938-0880 |
| NPI Number | 1760845978 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760845978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D009095 (Arizona) | Primary |
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