| Richard H. Nellson | |
|
163 Pleasant Ave Portland ME 04103-3242 | |
| (207) 773-3794 | |
| (207) 772-1011 |
| Full Name | Richard H. Nellson |
|---|---|
| Speciality | Dentist |
| Location | 163 Pleasant Ave, Portland, Maine |
| Authorized Official Name and Position | Richard Hunter Nellson (OWNER) |
| Authorized Official Contact | 12077733794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard H. Nellson 163 Pleasant Ave Portland ME 04103-3242 Ph: (207) 773-3794 | Richard H. Nellson 163 Pleasant Ave Portland ME 04103-3242 Ph: (207) 773-3794 |
| NPI Number | 1326253139 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326253139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2765 (Maine) | Primary |
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