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

Dr. Gary Randall Nelson, DDS

Individual provider Pediatric Dentistry · NPI 1598746687

Dr. Gary Randall Nelson, DDS is a Pediatric Dentistry in Portland, Oregon. Licensed in California and Oregon. Registered with an NPI since 2005.

Licensed in
CA, OR
In the registry since
2005
Specialties on file
2
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

2730 SW Moody Ave
Portland, OR 97201-5042
Phone: (503) 346-4708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D9864 (OR)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 27908 (CA)

Record details

NPI number1598746687
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESJuly 22, 2014
Mailing address2730 Sw Moody Ave, Portland, OR 97201-5042

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