# DENTAL IMPLANT SPECIALISTS OF NEVADA - WILLARDSEN, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** True Dentistry - powered by G4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952192015
- **Authorized official:** JAMES WILLARDSEN (PROVIDER PARTNER)
- **Authorized official phone:** (702) 481-0089

## Contact information

- **Practice address:** 9061 W POST RD, LAS VEGAS, NV 89148-2411
- **Practice address phone:** (702) 434-4800
- **Mailing address:** 3500 MAPLE AVE STE 1150, DALLAS, TX 75219-3949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/16/2025
- **Last updated:** 05/16/2025