JEFFREY D NIELSEN DDS
NPI 1700915170
Dentist - General Practice in Crandon, WI

Active since March 03, 2007
3144 VAN ZILE RD., CRANDON, WI 54520(715) 478-5180 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey D Nielsen Dds NPPES

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

JEFFREY D NIELSEN DDS (NPI 1700915170) is an individual general practice provider in Crandon, Wisconsin, licensed in Wisconsin (5002113) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1700915170
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEFFREY D NIELSENCredential: DDS
Location Address3144 VAN ZILE RD.Crandon, WI 54520-9001
Mailing Address222 Gruber StAntigo, WI 54409-2525 · (715) 623-3324
Sole ProprietorNo
Enumeration DateMarch 3, 2007
Last NPPES UpdateNovember 24, 2010
NPI 1700915170 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 · 5002113
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.

3144 VAN ZILE RD., Crandon, WI 54520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700915170, enumerated as an "individual" on March 03, 2007.

The provider is located at 3144 VAN ZILE RD. CRANDON, WI 54520 and the phone number is (715) 478-5180.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.