# SCOTTSDALE WEST PDC PLLC

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

## Provider details

- **NPI number:** 1508650482
- **Authorized official:** MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (801) 305-3460

## Contact information

- **Practice address:** 6501 E GREENWAY PKWY STE 161, SCOTTSDALE, AZ 85254-2069
- **Practice address phone:** (480) 536-9050
- **Mailing address:** 727 SOUTH 600 EAST STE 300, AMERICAN FORK, UT 84003
- **Mailing address phone:** (801) 305-3460

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2025
- **Last updated:** 04/07/2025