NPI age
5 years
Enumerated 2021-02-07
● Active
Type 1 · Individual
Juliann Covington Willardson, DMD
Willardson is 1 of 7 dentist providers in Mountain Home and 1 of 591 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 591 active dentist providers in Idaho.
NPI age
5 years
↓ 11 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 17% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Practice location
120 Desert Sage Way
Mountain Home, ID 836471038
Mailing address
120 Desert Sage Way
Mountain Home, ID 836471038
Additional practice locations
1 secondary location on file with NPPES.
Location 2
5855 W Utopia Rd
Glendale, AZ 853085251
Specialties
-
Dentist PrimaryA 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...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.