Nelson, Robert Dean

Nelson, Robert Dean is an individual health care provider with primary practice located at 105 S Laurel St , Springfield GA 31329-9255. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nelson, Robert Dean can be contacted via phone (912) 754-6822.

Contact Information

Primary practice address
105 S Laurel St Springfield GA 31329-9255
Phone: (912) 754-6822
Fax: (912) 754-4368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DNO12730 Georgia

Profile Details

NPI number 1003987785
LBN Legal business name Nelson, Robert Dean
Credentials DENTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003987785 NPPES
Georgia Other 9184109 DORAL
Georgia Other UNITED CONCORDIA DORAL

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