DR. JON GREGORIE NELSON D.D.S
NPI 1003982406
Dentist - General Practice in Superior, WI

Q: What is Jon Nelson's NPI number?

The NPI number for Jon Nelson is 1003982406. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Jon Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jon Nelson was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2006

418 23RD AVE E, SUPERIOR, WI 54880(715) 398-3239(715) 398-5799 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jon Gregorie Nelson D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON GREGORIE NELSON D.D.S (NPI 1003982406) is an individual general practice provider in Superior, Wisconsin, licensed in Wisconsin (WI 3898) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1003982406

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JON GREGORIE NELSONCredential: D.D.S

Location Address418 23RD AVE ESuperior, WI 54880-3707

Mailing Address418 23rd Ave ESuperior, WI 54880-3707 · (715) 398-3239 · Fax (715) 398-5799

Phone(715) 398-3239

Fax(715) 398-5799

Sole ProprietorYes

Enumeration DateNovember 28, 2006

Last NPPES UpdateMarch 30, 2021

NPPES CertifiedMarch 30, 2021

✔ NPI 1003982406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · WI 3898

Definition

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.

418 23RD AVE E, Superior, WI 54880

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Other Identifiers 4

Medicaid33679400WI

Other06508NEMN · Bcbs Mn Identifier

Other437434WI · United Concordia

OtherWI 3898WI · License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN BURSCH DDS

Dentist

418 23RD AVE E
SUPERIOR, WI 54880

Douglas County (715) 398-3239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Nelson's NPI number?

The NPI number for Jon Nelson is 1003982406. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Jon Nelson located?

Jon Nelson practices at 418 23rd Ave E, Superior, WI 54880. The listed phone number is (715) 398-3239.

What is Jon Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jon Nelson was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.