Gary L Nelson, DMD
Dentist in Johns Creek, GA. Individual provider (NPI-1).
NPI number1265720593
StatusActive
Last updated in NPPESMar 30, 2015
Details
- NPI
- 1265720593
- Entity type
- Individual (NPI-1)
- Name
- Gary L Nelson
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2011
- Last updated
- Mar 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN014907 | GA | Yes |
Practice location
9925 Haynes Bridge RdSuite 700
Johns Creek, GA 30022-8532
Phone 470-297-6700 · Fax 470-297-6693
Mailing address
9925 Haynes Bridge RdSuite 700
Johns Creek, GA 30022-8532
Phone 470-297-6700 · Fax 470-297-6693
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All 13 Dentist providers in Johns Creek · All 1,177 providers in Johns Creek
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