| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 3476736661 |
|---|---|
| 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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