Juliann Covington Willardson, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992397384

Juliann Covington Willardson, DMD is a Student in an Organized Health Care Education/Training Program in Mountain Home, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in: ID
In the registry since: 2021
Specialties on file: 2

What do these letters mean?

DMD — Doctor of Dental Medicine: A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

120 Desert Sage Way
Mountain Home, ID 83647-1038
Phone: (208) 587-3988
Fax: (208) 587-3324

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

Additional practice locations (1)

5855 W Utopia Rd, Glendale, AZ 85308-5251 — (623) 806-7010

Specialties & licences

Dentist (primary)	Taxonomy 122300000X · Licence D-5314 (ID)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1992397384
Entity type	Individual (Type 1)
Gender	Female
Credentials	DMD
Sole proprietor	No
NPI enumerated	February 7, 2021
Last updated in NPPES	March 18, 2024
Certification date	March 18, 2024
Mailing address	120 Desert Sage Way, Mountain Home, ID 83647-1038