Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073251963 Individual Practitioner Female Practitioner

Dr. Angelica Jane Bustos Thacker , DMD

Dentist - General Practice • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Dr. Angelica Jane Bustos Thacker, DMD is a registered healthcare professional specializing in Dentist - General Practice in Las Vegas, NV. Practice services are available at 7603 GRAND TETON DR STE 140 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7603 Grand Teton Dr Ste 140

Las Vegas, NV 891311602

Telephone 7029571013

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
603 Specialists

Practicing in Las Vegas, NV (1127 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: 2023-03-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NV 7617

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Sascha Hudson , DMD

Dentist - General Practice

NPI 1376876300

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location March 17, 2023

Registered at 7603 GRAND TETON DR STE 140, LAS VEGAS, NV 891311602 (Tel: 7029571013)

NPI Profile Active May 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2022

Registered at 2250 S RANCHO DR STE 205, LAS VEGAS, NV 891024456 (Tel: 7022912031)

📍
Updated Business Mailing Address May 22, 2022

Registered at 12028 HATHAWAY PINES LN, LAS VEGAS, NV 891384501 (Tel: 7028839376)

👤
Provider Name / Credentials Updated May 22, 2022

Recorded as ANGELICA JANE BUSTOS THACKER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2022

Dentist (License #7617 in NV)

🟢
Initial NPI Registration & Enumeration May 22, 2022

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: 1073251963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2022
Last Update: March 17, 2023
Sole Proprietor: No

Mailing Address

12028 Hathaway Pines Ln

Las Vegas, NV 891384501

Phone: 7028839376

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.