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NPI 1396149183

OrganizationActive

Brent E. Nelsen DMD, LLC

NPI 1396149183 · Dentist · Derby, KS

Provider details

NPI number: 1396149183
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Brent Nelsen, Owner
License: 7193 (KS)

Practice location

1120 N Rock Rd

Derby, KS 67037-3584

Phone: (316) 789-9999

Fax: (316) 789-9296

More KS providers

Mailing address

1120 N Rock Rd

Derby, KS 67037-3584

Registry dates

Enumerated: 2014-10-22
Last updated: 2014-10-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brent E. Nelsen DMD, LLC — NPI 1396149183, Derby, KS | NPI Central