Cheyenne Facial Imaging Center

LBN: Cheyenne Facial Imaging Center
Cheyenne Facial Imaging Center is an health care organization with primary practice located at 1401 Airport Pkwy Ste 210 , Cheyenne WY 82001-1541. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Cheyenne Facial Imaging Center can be contacted via phone (307) 316-4101, or through Bird, Jason L. via phone (307) 316-4101.

Contact Information

Primary practice address
1401 Airport Pkwy Ste 210 Cheyenne WY 82001-1541
Phone: (307) 316-4101
Fax: (307) 224-1089
Website:
Map and Directions
Authorized official contact:
Name: Bird, Jason L. Doctor of Dental Surgery (DDS)
Phone: (307) 316-4101

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 999 Wyoming

Profile Details

NPI number 1427421676
LBN Legal business name Cheyenne Facial Imaging Center
DBA Doing business as
Authorized official Bird, Jason L. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2015
Last updated Nov 10th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427421676 NPPES
Wyoming MEDICAID 121770400

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