GARY J NELSON DMD
NPI 1700954518
Dentist - General Practice in Idaho Falls, ID

Active since December 01, 2006
3350 S 15TH E, IDAHO FALLS, ID 83404(208) 522-4700(208) 522-5416 Get Directions Write a Review

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

About Gary J Nelson Dmd NPPES

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

GARY J NELSON DMD (NPI 1700954518) is an individual general practice provider in Idaho Falls, Idaho, licensed in Idaho (D-3631) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1700954518
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGARY J NELSONCredential: DMD
Location Address3350 S 15TH EIdaho Falls, ID 83404-8321
Mailing Address3350 S 15th EIdaho Falls, ID 83404-8321 · (208) 522-4700 · Fax (208) 522-5416
Fax(208) 522-5416
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1700954518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D-3631
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.
3350 S 15TH E, Idaho Falls, ID 83404

Other Identifiers 2

Other1465021ID · United Concordia
Other61161ID · Blue Cross

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
3350 S 15TH E
IDAHO FALLS, ID 83404
Dentist
3350 S 15TH E
IDAHO FALLS, ID 83404

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 Gary Nelson's NPI number?

The NPI number for Gary Nelson is 1700954518. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Gary Nelson located?

Gary Nelson practices at 3350 S 15th E, Idaho Falls, ID 83404. The listed phone number is (208) 522-4700.

What is Gary 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 Gary 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.