Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Angelica Jane Bustos Thacker, DMD

Individual provider General Practice Dentistry · NPI 1073251963

Dr. Angelica Jane Bustos Thacker, DMD is a General Practice Dentistry in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2022.

Licensed in
NV
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

7603 Grand Teton Dr Ste 140
Las Vegas, NV 89131-1602
Phone: (702) 957-1013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7617 (NV)

Record details

NPI number1073251963
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 22, 2022
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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