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Dr. Mark L Nelson, DDS
Pediatric Dentist in Bountiful, Utah
NPI 1215997663

Mark L Nelson is a Pediatric Dentist based in Bountiful, UT and is specialized in Pediatric Dentistry. Mark L Nelson practices in Bountiful, UT and has the professional credentials of DDS. The NPI Number for Mark L Nelson is 1215997663 and holds a License No. 141802 (Utah).

The current practice location address for Mark L Nelson is 1551 Renaissance Towne Dr, Bountiful, UT and can be reached out via phone at 801-295-8322 and via fax at 801-295-7694.

Location: 1551 Renaissance Towne Dr, Bountiful, UT, 84010-7667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215997663
Provider Name
Mark L Nelson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1551 Renaissance Towne Dr, Bountiful, UT, 84010-7667
Phone Number
801-295-8322
Fax Number
801-295-7694
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870542081 01 UT TAX ID FOR MISC INSURANCE
562460 01 UT UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1551 Renaissance Towne Dr
City
Bountiful
State
Utah
Zip
84010-7667
Phone Number
801-295-8322
Fax Number
801-295-7694
person
Provider Business Mailing Address Details
Address
1551 Renaissance Towne Dr
City
Bountiful
State
Utah
Zip
84010-7667
Phone Number
801-295-8322
Fax Number
801-295-7694
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
141802 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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