| Craig L Nelson Dds Inc | |
|
405 Union Street Lagrange IN 46761 | |
| (260) 463-3123 | |
| Not Available |
| Full Name | Craig L Nelson Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 Union Street, Lagrange, Indiana |
| Authorized Official Name and Position | Craig L Nelson (PRESIDENT) |
| Authorized Official Contact | 2604633123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig L Nelson Dds Inc 405 Union Street Lagrange IN 46761 Ph: (260) 463-3123 | Craig L Nelson Dds Inc 405 Union Street Lagrange IN 46761 Ph: (260) 463-3123 |
| NPI Number | 1558305326 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558305326 | NPI | - | NPPES |
| 100159780 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12006413A (Indiana) | Primary |
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