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Active NPI 1144889825 Individual Practitioner Male Practitioner

Dr. Jaden Willard , DMD

Dentist - General Practice • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Dr. Jaden Willard, DMD is a registered healthcare professional specializing in Dentist - General Practice in Las Vegas, NV. Practice services are available at 653 N TOWN CENTER DR STE 508 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

653 N Town Center Dr Ste 508

Las Vegas, NV 891440519

Telephone 7022288777
Associated Practice Facility / Clinic
🏢 Jw Dental Pllc Facility NPI 1295465946

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: 2022-06-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NV 7577

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. Andrew Shields , DMD

Dentist - General Practice

NPI 1528125242

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 15, 2022

Registered at 653 N TOWN CENTER DR STE 508, LAS VEGAS, NV 891440519 (Tel: 7022288777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2022

Dentist (License #7577 in NV)

✅
NPI Profile Active June 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2019

Registered at 1601 S SECOND ST, GALLUP, NM 873015816 (Tel: 5057224422)

📍
Updated Business Mailing Address June 06, 2019

Registered at 3262 HAMBLIN DR, SANTA CLARA, UT 847655342

👤
Provider Name / Credentials Updated June 06, 2019

Recorded as JADEN WILLARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2019

Dentist (License #DD5104 in NM)

🟢
Initial NPI Registration & Enumeration June 06, 2019

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: 1144889825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2019
Last Update: June 15, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3262 Hamblin Dr

Santa Clara, UT 847655342

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.