Dental Implant Specialists of Nevada - Willardsen, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL IMPLANT SPECIALISTS OF NEVADA - WILLARDSEN, PC

Practice address

9061 W Post Rd
Las Vegas, NV 89148-2411

Phone

(702) 434-4800

NPI assigned

May 16, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Willardsen

Title

Provider Partner

Phone

(702) 481-0089

Specialties & licenses 2

Addresses

Other names 1

• True Dentistry - powered by G4 Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Kristine Waltrip, DDS

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1598812646
  NPD
• Mason Robert Duff, D.M.D.

  • Dentist
  • Las Vegas, NV
  • NPI 1912380577
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1952192015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE STE 1150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 W POST RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482411",
            "telephone_number": "702-434-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT SPECIALISTS OF NEVADA - WILLARDSEN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "WILLARDSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PROVIDER PARTNER",
        "authorized_official_telephone_number": "702-481-0089"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Dentistry - powered by G4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheryl Yvonne Dent-Juarez
• Jillian Dent
• Saryna A Dent, CRNA
• Dental Hispana LLC
• Dental Hygiene Direct
• Dental Implant Specialists of Nevada, Golpa PC
• Dental Management of Nevada-Bienstock PLLC
• Dental Nation
• Dental Sleep Solutions of Las Vegas
• Dental Surgery Center of Las Vegas, LLC

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.