# PARADISE LV NIELSON PDC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053287144
- **Authorized official:** JAXON DOWNING (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (801) 305-3460

## Contact information

- **Practice address:** 2458 E RUSSELL RD STE B, LAS VEGAS, NV 89120-2475
- **Practice address phone:** (702) 798-4595
- **Mailing address:** 727 E UTAH VALLEY DR, AMERICAN FORK, UT 84003-3345
- **Mailing address phone:** (801) 305-3460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2025
- **Last updated:** 10/15/2025