Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brock J Nelson DMD LLC

Organization Dental Clinic/Center · NPI 1104782077

Brock J Nelson DMD LLC is a Dental Clinic/Center in Salem, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

631 Jason St NE Ste 150
Salem, OR 97301-2318
Phone: (503) 364-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1104782077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brock Nelson — Owner · (503) 364-3004
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 4, 2026
Mailing address631 Jason St Ne Ste 150, Salem, OR 97301-2318

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