Individual provider · Type 1 NPI

Jacqueline Ann Nelson, DDS

Pediatric Dentistry · Fullerton, CA

NPI number 1760978803 Active

Practice location

801 E Chapman Ave Ste 226
Fullerton, CA 92831-3847

Mailing address

4523 E White Dove Ave
Orange, CA 92869-1939

Other practice locations

  • 1467 N Wanda Rd Ste 195, Orange, CA 92867-5344 · (714) 978-4274
  • 62 Corporate Park Ste 135, Irvine, CA 92606-3132 · (949) 252-9950
  • 4523 E White Dove Ave, Orange, CA 92869-1939 · (602) 451-5537

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X103401 (CA)
Dentist 122300000X10867262-9922 (UT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1760978803

Jacqueline Ann Nelson, DDS's National Provider Identifier is 1760978803, issued on Jul 1, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fullerton, CA. The record was last updated on Nov 29, 2021.