Brookside Dental

LBN: Jc Dentistry Llc
Brookside Dental is an health care organization with primary practice located at 229 Storey Blvd Ste A , Cheyenne WY 82009-3595. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jc Dentistry Llc can be contacted via phone (307) 635-6300, or through Christopherson, Jared B via phone (307) 635-6300.

Contact Information

Primary practice address
229 Storey Blvd Ste A Cheyenne WY 82009-3595
Fax: (307) 635-6361
Website:
Authorized official contact:
Name: Christopherson, Jared B Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1416 Wyoming

Profile Details

NPI number 1689117608
LBN Legal business name Jc Dentistry Llc
DBA Doing business as Brookside Dental
Authorized official Christopherson, Jared B Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2016
Last updated Jan 30th, 2017 - about 8 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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