Doctor profile · Federal record
Dr. Angelica Jane Bustos Thacker, DMD
General Practice Dentistry · Las Vegas, NV
- NPI 1073251963
- 4 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7603 Grand Teton Dr Ste 140
Las Vegas, NV 891311602
(702) 957-1013 - Mailing address
-
12028 Hathaway Pines Ln
Las Vegas, NV 891384501
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- March 17, 2023
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Nevada #7617
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073251963. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$522
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 2 | $522.46 |
By nature of payment
Frequently asked questions
What is Dr. Angelica Jane Bustos Thacker's medical specialty?
Dr. Angelica Jane Bustos Thacker practices General Practice Dentistry in Las Vegas, NV.
Where does Dr. Angelica Jane Bustos Thacker practice?
Dr. Angelica Jane Bustos Thacker practices at 7603 Grand Teton Dr Ste 140, Las Vegas, NV 891311602. Office phone: 7029571013.
What is Dr. Angelica Jane Bustos Thacker's NPI?
Dr. Angelica Jane Bustos Thacker's National Provider Identifier (NPI) is 1073251963, issued by NPPES.