Neilson, Michael Gene

Neilson, Michael Gene is an individual health care provider with primary practice located at 60Th Dental Squadron 101 Bodin Circle, Travis Afb CA 94535. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Neilson, Michael Gene can be contacted via phone (707) 423-7085.

Contact Information

Primary practice address
60Th Dental Squadron 101 Bodin Circle Travis Afb CA 94535
Phone: (707) 423-7085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D8635 Oregon
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D8635 Oregon

Profile Details

NPI number 1811946841
LBN Legal business name Neilson, Michael Gene
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Nov 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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