Individual provider · Type 1 NPI

Lyle Wilfred Nelson, MD, DMD

Oral and Maxillofacial Surgery (Dentist) · Vancouver, WA

NPI number 1801919527 Active

Practice location

3215 SE 192nd Ave, Suite 112
Vancouver, WA 98683-1469

Call (360) 256-7100 Map

Fax (360) 256-8886

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE00007605 (WA)

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 1801919527

Lyle Wilfred Nelson, MD, DMD's National Provider Identifier is 1801919527, issued on Apr 9, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.