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Deactivated NPI 1073795993 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce Lee Nelson , DDS

Dentist - General Practice • Phoenix, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 03, 2007
NPI Deactivation Date February 26, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Nelson, DDS was a registered Dentist - General Practice practicing in Phoenix, AZ. Throughout an active medical career spanning 19 years, Dr. Nelson provided care at the practice location at 1776 E GLENDALE AVE until profile deactivation on 2026-02-26.

Practice Location & Contact Primary Location

Practice Address

1776 E Glendale Ave

Phoenix, AZ 850205505

Telephone 6026784500
Fax 6023313552
Associated Practice Facility / Clinic
🏢 Bruce L. Nelson, Dds, Pc Facility NPI 1407987027

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 2293

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 26, 2026

Record deactivated on February 26, 2026

NPI Profile Active December 03, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 03, 2007

Registered at 1776 E GLENDALE AVE, PHOENIX, AZ 850205505 (Tel: 6026784500)

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Updated Business Mailing Address December 03, 2007

Registered at 1776 E GLENDALE AVE, PHOENIX, AZ 850205505 (Tel: 6026784500)

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Provider Name / Credentials Updated December 03, 2007

Recorded as BRUCE NELSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2007

Dentist (License #2293 in AZ)

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Initial NPI Registration & Enumeration December 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073795993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2007
Last Update: December 03, 2007
Deactivation Date: February 26, 2026

Mailing Address

1776 E Glendale Ave

Phoenix, AZ 850205505

Phone: 6026784500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.