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Active NPI 1497929400 Organization (Entity Type 2)

Michael E Nelson Dds, Inc

Preferred Provider Organization • Duncan, OK

About Michael E Nelson Dds, Inc NPI 1497929400 Summary

Michael E Nelson Dds, Inc is a verified healthcare organization specializing in Preferred Provider Organization operating in Duncan, OK. Located at 2025 W ELK AVE STE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1497929400.

Administrative operations and authorized compliance are overseen by Michael Nelson (President).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2025 W Elk Ave Ste A

Duncan, OK 735331601

Telephone 5802524293
Fax 5802022090

Authorized Official Information

Authorized Contact Name

DR. Michael Nelson , D.D.S

Title / Role

President

Official Telephone

5802524293

Facility Classifications & Specialties

Preferred Provider Organization Primary Taxonomy

NUCC Taxonomy Code: 305R00000X

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
✅
NPI Profile Active April 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2008

Registered at 2025 W ELK AVE STE A, DUNCAN, OK 735331601 (Tel: 5802524293)

📍
Updated Business Mailing Address April 22, 2008

Registered at 2025 W ELK AVE STE A, DUNCAN, OK 735331601 (Tel: 5802524293)

🏛️
Organization / Clinic Name Updated April 22, 2008

Operating as MICHAEL E NELSON DDS, INC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2008

Preferred Provider Organization (License #4125 in OK)

🟢
Initial NPI Registration & Enumeration April 22, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1497929400
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 22, 2008
Last Update: April 22, 2008
Update or Correct Listing

Mailing Address

2025 W Elk Ave Ste A

Duncan, OK 735331601

Phone: 5802524293

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.