JARED M WHITESIDE DDS NPI 1073201992

NPI Information

  • NPI: 1073201992
  • Provider Name: JARED M WHITESIDE, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3600 N BUFFALO DR STE 110
    LAS VEGAS, NV
    ZIP 89129
  • Phone: (702) 254-8858

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NPI Details

Jared M Whiteside, DDS is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jared M Whiteside, DDS NPI is 1073201992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3600 N BUFFALO DR STE 110
LAS VEGAS, NV
ZIP 89129-462
Phone: (702) 254-8858

The enumeration date for this NPI number is 4/27/2023 and was last updated on 5/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7818NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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