BROCK J NELSON DMD LLC
NPI 1104782077
Clinic/Center - Dental in Salem, OR

Q: What is Brock J Nelson Dmd LLC's NPI number?

The NPI number for Brock J Nelson Dmd LLC is 1104782077. It was assigned to this organization in the NPPES registry on January 5, 2026.

Q: What is Brock J Nelson Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 05, 2026

631 JASON ST NE STE 150, SALEM, OR 97301(503) 364-3004 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brock J Nelson Dmd Llc NPPES

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

BROCK J NELSON DMD LLC (NPI 1104782077) is a healthcare organization registered as a dental in Salem, Oregon and active in the NPI registry since January 2026. The organization lists Brock Jesse Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104782077

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameBROCK J NELSON DMD LLC

Location Address631 JASON ST NE STE 150Salem, OR 97301-2318

Mailing Address631 Jason St Ne Ste 150Salem, OR 97301-2318 · (503) 364-3004

Phone(503) 364-3004

Organization SubpartNo

Authorized OfficialBrock Jesse NelsonOwner · (503) 364-3004

Enumeration DateJanuary 5, 2026

NPPES CertifiedJanuary 4, 2026

✔ NPI 1104782077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

631 JASON ST NE STE 150, Salem, OR 97301

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Other Providers at the Same Location NPPES 3

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

SVETLANA STEFANOVICH

Dental Hygienist

631 JASON ST NE STE 150
SALEM, OR 97301

Marion County (503) 364-3004

NELSON AND WILLIS LLC

Dentist (General Practice)

631 JASON ST NE STE 150
SALEM, OR 97301

Marion County (503) 364-3004

DR. BROCK JESSE NELSON DMD

Dentist (General Practice)

631 JASON ST NE STE 150
SALEM, OR 97301

Marion County (503) 854-0153

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 Brock J Nelson Dmd LLC's NPI number?

The NPI number for Brock J Nelson Dmd LLC is 1104782077. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Brock J Nelson Dmd LLC located?

Brock J Nelson Dmd LLC is located at 631 Jason St NE Ste 150, Salem, OR 97301. The listed phone number is (503) 364-3004.

What is Brock J Nelson Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Brock J Nelson Dmd LLC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.