Jens Dean Nelson, DMD is a
Dentist - Prosthodontics based in Travis, Afb, California. Jens Dean Nelson is licensed to practice in Utah (license number 8715229-9922) and his current practice location is
101 Bodin Cir, Travis, Afb, California. He can be reached at his office (for appointments etc.) via phone at
(707) 423-7008.
NPI number for Jens Dean Nelson is 1619314358 and his current mailing address is 101 Bodin Cir, Travis Afb, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619314358.
Healthcare Provider's Profile
Full Name | Jens Dean Nelson |
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Gender | Male |
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Speciality | Dentist - Prosthodontics |
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Location | 101 Bodin Cir, Travis, Afb, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619314358
- Provider Enumeration Date: 06/03/2013
- Last Update Date: 08/05/2021
Medical Identifiers
Medical identifiers for Jens Dean Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619314358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 8715229-9922 (Utah) | Secondary |
1223P0700X | Dentist - Prosthodontics | 8715229-9922 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jens Dean Nelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jens Dean Nelson, DMD 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (801) 368-3999 | Jens Dean Nelson, DMD 101 Bodin Cir, Travis, Afb, CA 94535 Ph: (707) 423-7008 |
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