| James W Nelson Dds, S.c. | |
|
315 Union St. Rio WI 53960-0218 | |
| (920) 992-3500 | |
| (920) 992-5115 |
| Full Name | James W Nelson Dds, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 315 Union St., Rio, Wisconsin |
| Authorized Official Name and Position | James Wayne Nelson (PRESIDENT) |
| Authorized Official Contact | 9209923500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James W Nelson Dds, S.c. P.o. Box 218 315 Union St Rio WI 53960-0218 Ph: (920) 992-3500 | James W Nelson Dds, S.c. 315 Union St. Rio WI 53960-0218 Ph: (920) 992-3500 |
| NPI Number | 1811032162 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811032162 | NPI | - | NPPES |
| 33659700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001423-015 (Wisconsin) | Primary |