# MARK L GLYMAN MD DDS & ERIC D SWANSON MD DMD LTD

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

## Provider details

- **NPI number:** 1053595579
- **Authorized official:** MS. BRENDA GABLER (OFFICE MANAGER)
- **Authorized official phone:** (702) 892-0833

## Contact information

- **Practice address:** 825 N GIBSON RD STE 441, HENDERSON, NV 89011-1708
- **Practice address phone:** (702) 892-0833
- **Practice address fax:** (702) 892-0906
- **Mailing address:** 825 N GIBSON RD STE 441, HENDERSON, NV 89011-1708
- **Mailing address phone:** (702) 892-0833
- **Mailing address fax:** (702) 892-0906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6502 | NV | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9150 | NV | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 6502 | NV | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 9150 | NV | — |

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 01/23/2023