Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669601886 Individual Practitioner Male Practitioner

Dr. Kevin Ted Nelson , DDS

Dentist - General Practice • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Nelson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spokane, WA. Practice services are available at 775 E HOLLAND AVE STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

775 E Holland Ave Ste 201

Spokane, WA 992185016

Telephone 5094642391
Fax 5092320555
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

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

Practicing in Spokane, WA (3345 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: 2024-11-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60690890

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License MO 2009015337

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Bradley Jarvis , DDS

Dentist - General Practice

NPI 1245454727

Doctor of Dental Surgery

Dr. Rodney Braun , DDS

Dentist - General Practice

NPI 1447467303

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 25, 2024

Registered at 775 E HOLLAND AVE STE 201, SPOKANE, WA 992185016 (Tel: 5094642391)

📍
Updated Business Mailing Address November 25, 2024

Registered at 775 E HOLLAND AVE STE 201, SPOKANE, WA 992185016 (Tel: 5094642391)

NPI Profile Active November 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2016

Registered at 5952 BLACKSTONE WAY STE 100, NINE MILE FALLS, WA 990264900 (Tel: 5094640002)

📍
Updated Business Mailing Address November 01, 2016

Registered at 5952 BLACKSTONE WAY STE 100, NINE MILE FALLS, WA 990264900 (Tel: 5094640002)

👤
Provider Name / Credentials Updated November 01, 2016

Recorded as KEVIN NELSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2016

Dentist (License #2009015337 in MO)

🟢
Initial NPI Registration & Enumeration July 09, 2009

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: 1669601886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2009
Last Update: November 25, 2024
Sole Proprietor: No

Mailing Address

775 E Holland Ave Ste 201

Spokane, WA 992185016

Phone: 5094642391

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.