Provider Demographics
NPI:1821184789
Name:NELSON, HILARY LYNDON JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:LYNDON
Last Name:NELSON
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2025 REDWOOD RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3278
Mailing Address - Country:US
Mailing Address - Phone:707-255-5100
Mailing Address - Fax:707-255-0152
Practice Address - Street 1:2025 REDWOOD RD
Practice Address - Street 2:SUITE 3
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3278
Practice Address - Country:US
Practice Address - Phone:707-255-5100
Practice Address - Fax:707-255-0152
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA232241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice