Individual provider · Type 1 NPI
Angelica Jane Bustos Thacker, DMD
General Practice Dentistry · Las Vegas, NV
NPI number
1073251963
Active
Practice location
7603 Grand Teton Dr Ste 140
Las Vegas, NV 89131-1602
Mailing address
12028 Hathaway Pines Ln
Las Vegas, NV 89138-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 7617 (NV) |
General Practice Dentistry: 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.
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About NPI 1073251963
Angelica Jane Bustos Thacker, DMD's National Provider Identifier is 1073251963, issued on May 22, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 17, 2023.