Organization · Type 2 NPI

Jacy C Nelson D.d.s., P.s.

Dentist · Renton, WA

NPI number 1154878668 Active

Practice location

14300 SE Petrovitsky Rd
Renton, WA 98058-8955

Call (253) 852-0202 Map

Fax (253) 852-5361

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDE9342 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1154878668

Jacy C Nelson D.d.s., P.s.'s National Provider Identifier is 1154878668, issued on Sep 1, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Renton, WA. The record was last updated on May 11, 2026.