Individual provider · Type 1 NPI

Ronald Henry Nellen, DDS

Oral and Maxillofacial Surgery (Dentist) · Greenfield, WI

NPI number 1992719280 Active

Practice location

4811 S 76th St, Suite 304
Greenfield, WI 53220-4364

Fax (414) 281-1080

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2699 (WI)

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 1992719280

Ronald Henry Nellen, DDS's National Provider Identifier is 1992719280, issued on Jul 29, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Greenfield, WI. The record was last updated on Jul 9, 2007.