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Active NPI 1669883807 Individual Practitioner Male Practitioner

Dr. Justin Van Dusen , DMD

Dentist - General Practice • Tempe, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Justin Van Dusen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tempe, AZ. Practice services are available at 1700 E ELLIOT RD STE 7&8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 E Elliot Rd Ste 7&8

Tempe, AZ 852841630

Telephone 4806746060
Fax 4806746070
Associated Practice Facility / Clinic
🏢 Dental Partners Tempe Llc Facility NPI 1952051104

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tempe, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
82 Specialists

Practicing in Tempe, 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: 2024-08-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D008934

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
927061 (AZ)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Phillip Larece

Dentist - General Practice

NPI 1730809591

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 01, 2024

Registered at 1700 E ELLIOT RD STE 7&8, TEMPE, AZ 852841630 (Tel: 4806746060)

📍
Updated Business Mailing Address August 01, 2024

Registered at 18515 E MACAW DR, QUEEN CREEK, AZ 851425168 (Tel: 9493785967)

NPI Profile Active May 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2014

Registered at 1130 S COUNTRY CLUB DR, MESA, AZ 852104639 (Tel: 4804619866)

📍
Updated Business Mailing Address May 09, 2014

Registered at 234 DRUMLIN CIR, FRUITA, CO 815212465 (Tel: 9493785967)

👤
Provider Name / Credentials Updated May 09, 2014

Recorded as JUSTIN VAN DUSEN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2014

Dentist (License #D008934 in AZ)

🟢
Initial NPI Registration & Enumeration May 09, 2014

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: 1669883807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2014
Last Update: August 01, 2024
Sole Proprietor: No

Mailing Address

18515 E Macaw Dr

Queen Creek, AZ 851425168

Phone: 9493785967

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.