DR. ETHAN BLAKE NELSON DDS
NPI 1033320833
Dentist - General Practice in Edenton, NC

Q: What is Ethan Nelson's NPI number?

The NPI number for Ethan Nelson is 1033320833. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Ethan 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 Ethan Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 24, 2007

103 MARK DR, EDENTON, NC 27932(252) 482-5131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Ethan Blake Nelson Dds NPPES

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

DR. ETHAN BLAKE NELSON DDS (NPI 1033320833) is an individual general practice provider in Edenton, North Carolina, licensed in North Carolina (8393) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1033320833

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ETHAN BLAKE NELSONCredential: DDS

Location Address103 MARK DREdenton, NC 27932-1704

Mailing AddressPo Box 646Edenton, NC 27932-0646 · (252) 482-5131

Phone(252) 482-5131

Sole ProprietorNo

Enumeration DateMay 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033320833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 8393

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.

103 MARK DR, Edenton, NC 27932

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Other Providers at the Same Location NPPES 4

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

ALBEMARLE DENTAL ASSOCIATES

Dentist (General Practice)

103 MARK DR
EDENTON, NC 27932

Chowan County (252) 482-5131

DR. LONNIE V SIECK DDS

Dentist (General Practice)

103 MARK DR
EDENTON, NC 27932

Chowan County (252) 482-5105

B. ERIC PHILLIPS D.M.D., P.A.

Clinic/Center (Dental)

103 MARK DR
EDENTON, NC 27932

Chowan County (302) 540-2235

DR. CHRISTOPHER HALEY KOPPELMAN DDS

Dentist (General Practice)

103 MARK DR
EDENTON, NC 27932

Chowan County (252) 482-5131

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 Ethan Nelson's NPI number?

The NPI number for Ethan Nelson is 1033320833. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Ethan Nelson located?

Ethan Nelson practices at 103 Mark Dr, Edenton, NC 27932. The listed phone number is (252) 482-5131.

What is Ethan 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 Ethan Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.