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

Dr. Dane Nelson, DDS

Individual provider Dentist · NPI 1629427182

Dr. Dane Nelson, DDS is a Dentist in Great Lakes, Illinois. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2410 Sampson St Captain James A Lovell Federal Health Care Ctr
Great Lakes, IL 60088-2942
Phone: (651) 226-3562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13673 (MN)

Record details

NPI number1629427182
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 6, 2016
Last updated in NPPESJune 6, 2016
Mailing address1575 Oak Ave Apt 12, Evanston, IL 60201-4249

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