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Contact Information

JUSTIN M NELSON, DMD
577 STERNBERG AVE
USA DENTAC
FORT EUSTIS, VA23604-5311
 Phone: 757-314-7944
 Fax: 757-314-7942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JUSTIN M NELSON · (Male)

NPI # 1164434742
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/12/2006
Last updated 08/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 22855
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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