Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588230403 Individual Practitioner Male Practitioner

Dr. Justin Ray Nelson , DMD

Dentist • Sandpoint, ID

Professional Overview & Biography Verified Profile Summary

Dr. Justin Nelson, DMD is a registered healthcare professional specializing in Dentist in Sandpoint, ID. Practice services are available at 103 W SUPERIOR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 W Superior St

Sandpoint, ID 838641601

Telephone 2082638514
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Sandpoint, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Sandpoint, ID (448 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

CMS Verified: 2025-10-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-5579

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE61164746

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

203 E Dalke Ave

Spokane, WA 992088112

Phone: 5094448888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Phillip Glidden , DDS

Dentist - General Practice

NPI 1174636807

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 07, 2025

Registered at 103 W SUPERIOR ST, SANDPOINT, ID 838641601 (Tel: 2082638514)

📍
Updated Business Mailing Address October 07, 2025

Registered at 103 W SUPERIOR ST, SANDPOINT, ID 838641601 (Tel: 2082638514)

👤
Provider Name / Credentials Updated August 02, 2021

Recorded as JUSTIN NELSON, DMD

👤
Provider Name / Credentials Updated June 15, 2021

Recorded as JUSTIN NELSON, DDS

NPI Profile Active June 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2021

Registered at 203 E DALKE AVE, SPOKANE, WA 992088112 (Tel: 5094448888)

📍
Updated Business Mailing Address June 01, 2021

Registered at 611 N IRON BRIDGE WAY, SPOKANE, WA 992024932 (Tel: 5094448888)

👤
Provider Name / Credentials Updated June 01, 2021

Recorded as JUSTIN NELSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2021

Dentist (License #DE61164746 in WA)

🟢
Initial NPI Registration & Enumeration June 01, 2021

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: 1588230403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2021
Last Update: October 07, 2025
Sole Proprietor: Yes

Mailing Address

103 W Superior St

Sandpoint, ID 838641601

Phone: 2082638514

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.