DR. BROCK JESSE NELSON


Address: 631 Jason St Ne Ste 150, Salem, OR 97301-2750
Phone: 5038540153

DR. BROCK JESSE NELSON (NPI# 1295392926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295392926
Entity Type Individual
Full Name DR. BROCK JESSE NELSON
Credential DMD
Practice Address 631 Jason St Ne Ste 150
Salem
OR 97301-2750
Practice Telephone 5038540153
Enumeration Date 2019-05-29
Last Update Date 2019-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D11037 OR Dental Providers

Other Providers BROCK NELSON

NPI Name Taxonomy Address Enumeration
1275053621 Brock Tyler Nelson Dentist 2701 Sternberg Dr, Hays, KS 67601-2060 2017-06-26
1548520679 Brock Nelson Social Worker 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 2012-05-23

Office Location

Street Address 631 JASON ST NE STE 150
City SALEM
State OR
Zip Code 97301-2750

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164065280 Svetlana Stefanovich Dental Hygienist 631 Jason St Ne Ste 150, Salem, OR 97301-2357 2019-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811557457 Chadi Farag Dentist 25620 75th Street, Salem, WI 53168 2019-06-17
1528626660 Stephanie Danielle Gibbons Dentist 5 Dawn St, Salem, NH 03079-3231 2019-06-04
1407414642 Selma Moon Pierce Dentist 961 Glen Eden Ct Nw, Salem, OR 97304-2258 2019-06-03
1023595899 Gregory Lee Miller Dentist 3405 Derr Park Rd Se, Salem, OR 97310-0001 2018-07-25
1437643616 Idylwood Dental LLC Dentist 4392 Liberty Road, Salem, OR 97302-6171 2018-06-20
1619428281 William D. Bateman, Dmd, LLC Dentist 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 2016-10-19
1134545494 Caroline Wallace Dentist 103 S Colorado St, Salem, VA 24153-3848 2014-03-11
1275960296 Amy Trevor Dentist 1595 Commercial St. Se, Salem, OR 97302 2013-10-04
1558601385 Crisdental East Salem, LLC Dentist 3545 Lancaster Dr Ne, Salem, OR 97305-1435 2013-02-14
1487929980 King Dental PC Dentist 1855 W Nob Hill St Se Ste 200, Salem, OR 97302-5288 2012-03-15
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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