Shaun Nelson, DDS
Dentist, General Practice in Las Vegas, NV. Individual provider (NPI-1).
NPI number1124863741
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1124863741
- Entity type
- Individual (NPI-1)
- Name
- Shaun Nelson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2024
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8041 | NV | Yes |
Practice location
9771 S Eastern Ave Ste 100Las Vegas, NV 89183-6801
Phone 702-616-9655
Mailing address
3610 Sunridge Heights Way Unit 3406Henderson, NV 89052-4682
Phone 248-909-6609
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