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Active NPI 1487901336 Individual Practitioner Male Practitioner

Dr. Mitchell Loo , DMD

Oral & Maxillofacial Surgery • Henderson, NV

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Loo, DMD is a registered healthcare professional specializing in Oral & Maxillofacial Surgery in Henderson, NV. Practice services are available at 2835 SAINT ROSE PKWY STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2835 Saint Rose Pkwy Ste 100

Henderson, NV 890524847

Telephone 7029004780
Associated Practice Facility / Clinic
🏢 S. Huang, Dds, Pllc Facility NPI 1972358034

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Henderson, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Henderson, NV (15 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $140.00 $119.71

Medical Specialties & State Licenses

CMS Verified: 2024-10-01
Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License NV S2-199C

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License NV S2-199C

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Won Jong Lee , DDS MD

Dentist - Oral and Maxillofacial Surgery

NPI 1912429101

DDSMD

Career & Practice History Timeline

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

25 Historical Events
📍
Updated Practice Location October 01, 2024

Registered at 2835 SAINT ROSE PKWY STE 100, HENDERSON, NV 890524847 (Tel: 7029004780)

📍
Updated Business Mailing Address October 01, 2024

Registered at 276 BOURET PL, HENDERSON, NV 890123129 (Tel: 8575882085)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2024

Oral & Maxillofacial Surgery (License #S2-199C in NV)

📍
Updated Practice Location June 02, 2024

Registered at 835 W. CENTRAL STREET, 2ND FLOOR, FRANKLIN, MA 02038 (Tel: 5085538989)

📍
Updated Business Mailing Address June 02, 2024

Registered at 835 W. CENTRAL STREET, 2ND FLOOR, FRANKLIN, MA 020383189 (Tel: 5085538989)

📍
Updated Practice Location January 18, 2023

Registered at 5765 S FORT APACHE RD STE 110, LAS VEGAS, NV 891485625 (Tel: 7028766337)

📍
Updated Business Mailing Address January 18, 2023

Registered at 5765 S FORT APACHE RD STE 110, LAS VEGAS, NV 891485625 (Tel: 7028766337)

👤
Provider Name / Credentials Updated January 18, 2023

Recorded as MITCHELL LOO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2023

Dentist (License #S2-199C in NV)

📍
Updated Practice Location July 20, 2018

Registered at 1060 YOUNG ST STE 312, HONOLULU, HI 96814 (Tel: 8085858455)

📍
Updated Business Mailing Address July 20, 2018

Registered at 1060 YOUNG ST STE 312, HONOLULU, HI 968141609 (Tel: 8085858455)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2018

Dentist (License #DT-2687 in HI)

NPI Profile Active December 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2017

Registered at 621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 631418239 (Tel: 3142516725)

📍
Updated Business Mailing Address December 18, 2017

Registered at 621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 631418239 (Tel: 8082206292)

👤
Provider Name / Credentials Updated December 18, 2017

Recorded as MITCHELL LOO, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2017

Dentist (License #057191 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2017

Dentist (License #2017002226 in MO)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Dentist (License #057191 in NY)

NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2012

Registered at 506 LENOX AVE, WOMEN'S PAVILION BUILDING, RM 204, NEW YORK, NY 100371802 (Tel: 8082206292)

📍
Updated Business Mailing Address August 10, 2012

Registered at 2265 5TH AVE, APT. 5H, NEW YORK, NY 100372019 (Tel: 8082206292)

👤
Provider Name / Credentials Updated August 10, 2012

Recorded as MITCHELL LOO, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2012

Student in an Organized Health Care Education/Training Program (License #NY LIMITED LICENSE in NY)

🟢
Initial NPI Registration & Enumeration August 10, 2012

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: 1487901336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2012
Last Update: October 01, 2024
Sole Proprietor: No

Mailing Address

276 Bouret Pl

Henderson, NV 890123129

Phone: 8575882085

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.