National Provider Identifier

William M Neilsen, DDS

William M Neilsen, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Clifton Springs, NY and a listed phone number of (315) 462-5633.

NPI 1558342162Clifton Springs, NYGeneral Practice Dentistry

Profile Overview

NPI
1558342162
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
November 10, 2005
Last Updated
July 09, 2007

Practice Location

  • 67 Kendall St
  • 120 Clifton Springs Professional Park
  • Clifton Springs, NY 14432-9701

Phone: (315) 462-5633

Mailing Address

  • 67 Kendall St
  • 120 Clifton Springs Professional Park
  • Clifton Springs, NY 14432

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1558342162
Entity Type
Individual
Last Name
Neilsen
First Name
William
Middle Name
M
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
67 Kendall St
Mailing Address Line 2
120 Clifton Springs Professional Park
Mailing City
Clifton Springs
Mailing State
NY
Mailing ZIP Code
14432
Mailing Country
US
Mailing Phone
(315) 462-5633
Mailing Fax
(315) 462-3196
Practice Street Address
67 Kendall St
Practice Address Line 2
120 Clifton Springs Professional Park
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-9701
Practice Country
US
Practice Phone
(315) 462-5633
Practice Fax
(315) 462-3196
Enumeration Date
November 10, 2005
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
00715797 (NY)