Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891801585 Individual Practitioner Male Practitioner

Dr. James L Derrico , DDS, LLC

Dentist • Jackson, WY

Professional Overview & Biography Verified Profile Summary

Dr. James Derrico, DDS, LLC is a registered healthcare professional specializing in Dentist in Jackson, WY. Practice services are available at 1130 S HWY 89 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1130 S Hwy 89

Jackson, WY 830018512

Telephone 3072006644
Associated Practice Facility / Clinic
🏢 Owens Family Dentistry Facility NPI 1083191035

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jackson, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Jackson, WY (158 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: 2023-05-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WY 1509

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.

Secondary Practice Locations

1130 S Hwy 89

Jackson, WY 830018512

Phone: 3072006644

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Stephen Owens , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1366631335

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
👤
Provider Name / Credentials Updated May 07, 2023

Recorded as JAMES DERRICO, DDS, LLC

📍
Updated Business Mailing Address March 23, 2023

Registered at PO BOX 806, JACKSON, WY 830010806 (Tel: 6303997367)

👤
Provider Name / Credentials Updated March 23, 2023

Recorded as JAMES DERRICO, DDS

📍
Updated Practice Location February 03, 2023

Registered at 1130 S HWY 89, JACKSON, WY 830018512 (Tel: 3072006644)

📍
Updated Practice Location March 05, 2021

Registered at 580 MOULTON LOOP RD, JACKSON, WY 830019334 (Tel: 6303997367)

📍
Updated Business Mailing Address March 05, 2021

Registered at 580 MOULTON LOOP RD, JACKSON, WY 830019334 (Tel: 6303997367)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Dentist (License #1509 in WY)

NPI Profile Active October 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2014

Registered at 6448 COLLEGE RD, LISLE, IL 60532 (Tel: 6309838700)

📍
Updated Business Mailing Address October 13, 2014

Registered at 6448 COLLEGE RD, LISLE, IL 60532 (Tel: 6309838700)

👤
Provider Name / Credentials Updated October 13, 2014

Recorded as JAMES DERRICO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2014

Dentist (License #019019814 in IL)

🟢
Initial NPI Registration & Enumeration August 22, 2006

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: 1891801585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: May 07, 2023
Sole Proprietor: No

Mailing Address

Po Box 806

Jackson, WY 830010806

Phone: 6303997367

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.