IndividualActive
Bc Nelson, DDS
NPI 1083600712 · Public Health Dentistry · Stayton, OR
Provider details
- NPI number
- 1083600712
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- License
- D6700 (OR)
Specialties & taxonomies
Dental Providers
Practice location
470 E Washington St
Stayton, OR 97383-1837
Phone: (503) 769-5210
Approximate (ZIP-level) locationGet directions
Mailing address
470 E Washington St
Stayton, OR 97383-1837
Registry dates
- Enumerated
- 2005-09-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.