Most Relevant Information
Provider Data
| NPI Number: | 1003814138 |
| Provider Name: | JEFFREY LAWRENCE NELSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 40098 |
Most Important Dates
| Enumeration Date: | 07/12/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
344 PLACERVILLE DR
SUITE 19
PLACERVILLE
CA
956673920
Practice Location Phone/Fax
| Phone: | 5306269127 |
| Fax: | 5306269419 |
Provider Mailing Location
1861 HEATHER HILL RD
PLACERVILLE
CA
956673805
Provider Mailing Phone/Fax
| Phone: | 5306227893 |
| Fax: | 5306222943 |