Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669823829 Individual Practitioner Female Practitioner

Talitha Marie Jesse

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Talitha Jesse is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 4550 E BELL RD STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4550 E Bell Rd Ste 106

Phoenix, AZ 850329342

Telephone 6023449530

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 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

CMS Verified: 2024-09-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D012005

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 108674

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Meelin Chin Kit-Wells , DDS

Dentist - Pediatric Dentistry

NPI 1265507099

Doctor of Dental Surgery

NPI 1629451711

Doctor of Dental Medicine

Dr. Jamal Wells , DDS

Dentist - General Practice

NPI 1801450242

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location September 19, 2024

Registered at 4550 E BELL RD STE 106, PHOENIX, AZ 850329342 (Tel: 6023449530)

👤
Provider Name / Credentials Updated September 19, 2024

Recorded as TALITHA JESSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2024

Dentist (License #108674 in CA)

📍
Updated Practice Location October 03, 2023

Registered at 3705 BEACON AVE STE 101, FREMONT, CA 945381467 (Tel: 9257190019)

📍
Updated Business Mailing Address October 03, 2023

Registered at 16333 RIDGEHAVEN DR UNIT 1002, SAN LEANDRO, CA 945781481 (Tel: 9257190019)

📍
Updated Practice Location April 30, 2022

Registered at 5835 E STILL CIR, MESA, AZ 852063618 (Tel: 4802488100)

📍
Updated Business Mailing Address April 30, 2022

Registered at 25355 CYPRESS AVE APT 311, HAYWARD, CA 945442235 (Tel: 9257190019)

👤
Provider Name / Credentials Updated April 30, 2022

Recorded as TALITHA KHORASANI

NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at 424 PENINSULA AVE, SAN MATEO, CA 944011653 (Tel: 8005388365)

📍
Updated Business Mailing Address June 28, 2016

Registered at 11348 BLOOMINGTON WAY, DUBLIN, CA 945683608 (Tel: 9257190019)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as TALITHA JESSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

Behavior Analyst

🟢
Initial NPI Registration & Enumeration June 28, 2016

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: 1669823829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2016
Last Update: September 19, 2024
Sole Proprietor: Yes

Mailing Address

16333 Ridgehaven Dr Unit 1002

San Leandro, CA 945781481

Phone: 9257190019

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.