Individual provider · Type 1 NPI

Peter S. Nelson, DDS

Oral and Maxillofacial Surgery (Dentist) · Glendale, AZ

NPI number 1508196437 Active

Practice location

5750 W Thunderbird Rd Ste H850
Glendale, AZ 85306-4694

Call (602) 938-0880 Map

Fax (602) 547-0528

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XAB3433531218 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9095 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1508196437

Peter S. Nelson, DDS's National Provider Identifier is 1508196437, issued on Dec 25, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glendale, AZ. The record was last updated on Apr 12, 2024.