Individual provider · Type 1 NPI

Jacy Craig Nelson, DDS

General Practice Dentistry · Renton, WA

NPI number 1225015977 Active

Practice location

14300 SE Petrovitsky Rd
Renton, WA 98058-8955

Call (253) 852-0206 Map

Fax (253) 852-6351

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE00009342 (WA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1225015977

Jacy Craig Nelson, DDS's National Provider Identifier is 1225015977, issued on Dec 23, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Renton, WA. The record was last updated on Mar 18, 2026.