JULIANN COVINGTON WILLARDSON DMD
NPI 1992397384
Dentist in Mountain Home, ID

Q: What is Juliann Willardson's NPI number?

The NPI number for Juliann Willardson is 1992397384. It was assigned to this individual provider in the NPPES registry on February 7, 2021. The provider is also known as Juliann Covington.

Q: What is Juliann Willardson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 07, 2021PECOS Enrolled

120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647(208) 587-3988(208) 587-3324 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2021, Feb 7, 2021 (2 updates tracked since 2021).

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About Juliann Covington Willardson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIANN COVINGTON WILLARDSON DMD (NPI 1992397384) is an individual dentist in Mountain Home, Idaho, licensed in Idaho (D-5314) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1992397384

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJULIANN COVINGTON WILLARDSONCredential: DMD

Location Address120 DESERT SAGE WAYMountain Home, ID 83647-1038

Mailing Address120 Desert Sage WayMountain Home, ID 83647-1038 · (208) 587-3988 · Fax (208) 587-3324

Phone(208) 587-3988

Fax(208) 587-3324

Sole ProprietorNo

Enumeration DateFebruary 7, 2021

Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration

NPPES CertifiedMarch 18, 2024

✔ NPI 1992397384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · D-5314

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

120 DESERT SAGE WAY, Mountain Home, ID 83647

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Other Names 1

Former Name (1)Juliann Covington

Secondary Practice Location 1

Location 15855 W Utopia RdGlendale, AZ 85308-5251 · Phone (623) 806-7010 · Fax (623) 806-7010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juliann Covington Willardson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN D BEST FNP

Nurse Practitioner (Family)