Provider Demographics
NPI:1528028040
Name:NELSON, GARRETT STEVEN (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:STEVEN
Last Name:NELSON
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Gender:M
Credentials:MD, DDS
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Mailing Address - Street 1:2833 ELDORADO PKWY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7440
Mailing Address - Country:US
Mailing Address - Phone:214-618-8181
Mailing Address - Fax:214-618-8198
Practice Address - Street 1:2833 ELDORADO PKWY
Practice Address - Street 2:SUITE 307
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7440
Practice Address - Country:US
Practice Address - Phone:214-618-8181
Practice Address - Fax:214-618-8198
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2010-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX199651223S0112X
TXM01951223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery