ELISA B NELSON DDS NPI 1174698963

NPI Information

  • NPI: 1174698963
  • Provider Name: ELISA B NELSON, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 283 COMMACK RD
    SUITE 130
    COMMACK, NY
    ZIP 11725
  • Phone: (631) 499-7001

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NPI Details

Elisa B Nelson, DDS is a general practice dentist in Commack, NY. The provider is 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. Elisa B Nelson, DDS NPI is 1174698963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

283 COMMACK RD
SUITE 130
COMMACK, NY
ZIP 11725-021
Phone: (631) 499-7001
Fax: (631) 499-1830

The enumeration date for this NPI number is 11/21/2006 and was last updated on 11/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice044528NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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