Organization · NPI-2

Frank Nelson, DDS, PC

Dentist, General Practice · Bullhead City, AZ

NPI number1184839276
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1184839276
Entity type
Organization (NPI-2)
Legal business name
Frank Nelson, DDS, PC
Organization subpart
No
Enumeration date
May 11, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Thunder Mountain Dentistry (Doing Business As)

Practice location

3015 Highway 95
Suite 108a
Bullhead City, AZ 86442-4334

Phone 928-763-9803 · Fax 928-763-6813

Mailing address

3015 Highway 95
Suite 108a
Bullhead City, AZ 86442-4334

Phone 928-763-9803 · Fax 928-763-6813

Authorized official

Amy Kroeger
Ins Cood
2175405100

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