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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 103401 (CA) |
| Dentist | 122300000X | 10867262-9922 (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.
Another provider at this address
Other pediatric dentistry providers in Fullerton
- Kim Thuc Trinh, DDSPediatric Dentistry Fullerton, CA NPI 1174904783
- Lisa Yu, DDSPediatric Dentistry Fullerton, CA NPI 1285799361
- Grace Yum, DDSPediatric Dentistry Fullerton, CA NPI 1376669036
- David Lee, DMDPediatric Dentistry Fullerton, CA NPI 1477017432
- James Keonuk Park, DDSPediatric Dentistry Fullerton, CA NPI 1780721852
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.