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Organization
SUMMERHILLS NIELSON PDC PLLC
Active
Organization
SUMMERHILLS NIELSON PDC PLLC
Active
Other names
SummerHills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING)
(801) 691-1701
Entity
Organization
Contact information
Practice address
2261 N RAMPART BLVD, LAS VEGAS, NV 89128-7640
(702) 363-8655
Mailing address
727 E UTAH VALLEY DR, AMERICAN FORK, UT 84003-3345
(801) 691-1701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
07/03/2025
Last updated
11/06/2025
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