Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215997663 Individual Practitioner Male Practitioner

Dr. Mark L Nelson , DDS

Dentist - Pediatric Dentistry • Bountiful, UT

Professional Overview & Biography Verified Profile Summary

Dr. Mark Nelson, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Bountiful, UT. Practice services are available at 1551 RENAISSANCE TOWNE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1551 Renaissance Towne Dr
Suite 540

Bountiful, UT 840107667

Telephone 8012958322
Fax 8012957694
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Bountiful, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Bountiful, UT (144 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License UT 141802

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id For Misc Insurance
870542081 (UT)
Commercial Insurance / Payer ID United Concordia
562460 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
NPI 1033522933

Doctor of Audiology

Brandi Harris

Physician Assistant

NPI 1134629181
NPI 1194098020

Doctor of Pharmacy (Pharm.D.)

Dr. Curt Stock , MD

Otolaryngology

NPI 1275681686

Doctor of Medicine (M.D.)

Dr. R Murray , MD

Orthopaedic Surgery

NPI 1306987144

Doctor of Medicine (M.D.)

Michelle Horne , ATC

Specialist/Technologist - Athletic Trainer

NPI 1326475831

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1551 RENAISSANCE TOWNE DR, SUITE 540, BOUNTIFUL, UT 840107667 (Tel: 8012958322)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1551 RENAISSANCE TOWNE DR, SUITE 540, BOUNTIFUL, UT 840107667 (Tel: 8012958322)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK NELSON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #141802 in UT)

🟢
Initial NPI Registration & Enumeration March 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215997663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1551 Renaissance Towne Dr, Suite 540

Bountiful, UT 840107667

Phone: 8012958322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.