FLAMINGO RD NIELSON PDC PLLC NPI 1588454367

NPI Information

  • NPI: 1588454367
  • Provider Name: FLAMINGO RD NIELSON PDC PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5680 W FLAMINGO RD STE B
    LAS VEGAS, NV
    ZIP 89103
  • Phone: (702) 367-1499

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NPI Details

FLAMINGO RD NIELSON PDC PLLC is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FLAMINGO RD NIELSON PDC PLLC NPI is 1588454367. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5680 W FLAMINGO RD STE B
LAS VEGAS, NV
ZIP 89103-339
Phone: (702) 367-1499
Fax: (702) 367-2531

The provider's authorized official is Mark Christensen .
The authorized official title is Credentialing Specialist and has the following contact phone number (801) 305-3460.

The enumeration date for this NPI number is 5/7/2025 and was last updated on 5/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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