Provider Demographics
NPI:1801972559
Name:NELSON, HOWARD ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ARTHUR
Last Name:NELSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:H
Other - Middle Name:ARTHUR
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4700 ELDORADO PKWY
Mailing Address - Street 2:SUITE #200
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-529-5111
Mailing Address - Fax:972-540-1546
Practice Address - Street 1:4700 ELDORADO PKWY
Practice Address - Street 2:SUITE #200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-529-5111
Practice Address - Fax:972-540-1546
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX139251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice