Provider Demographics
NPI:1720484603
Name:H. CURT NELSON DDS, A DENTAL CORPORATION
Entity Type:Organization
Organization Name:H. CURT NELSON DDS, A DENTAL CORPORATION
Other - Org Name:NELSON DENTAL GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOUSTON
Authorized Official - Middle Name:CURT
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-525-2347
Mailing Address - Street 1:827 W WILSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1650
Mailing Address - Country:US
Mailing Address - Phone:714-525-2347
Mailing Address - Fax:714-525-4760
Practice Address - Street 1:827 W WILSHIRE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1650
Practice Address - Country:US
Practice Address - Phone:714-525-2347
Practice Address - Fax:714-525-4760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty