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

Dr. Jacqueline Nicole Patterson, DDS

Individual provider General Practice Dentistry · NPI 1790939403

Dr. Jacqueline Nicole Patterson, DDS is a Dentist in Las Vegas, Nevada. Qualified in 2003, 23 years ago. Licensed in Nevada.

Years since qualifying
23
Licensed in
NV
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2560 Montessouri St Ste 109
Las Vegas, NV 89117-3063
Phone: (702) 362-9353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5804 (NV)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5804 (NV)

Record details

NPI number1790939403
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 7, 2008
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Las Vegas