Individual provider · Type 1 NPI
Jack Andrew Nelson, OMFS
Oral and Maxillofacial Surgery (Dentist) · Hampton Bays, NY
NPI number
1629166590
Active
Practice location
240 W Montauk Hwy
Hampton Bays, NY 11946-3510
Fax (631) 728-5165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0429341 (NY) |
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.
3 other providers at this address
About NPI 1629166590
Jack Andrew Nelson, OMFS's National Provider Identifier is 1629166590, issued on Oct 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hampton Bays, NY. The record was last updated on Mar 10, 2016.