Casper Children'S Dental Clinic

LBN: Roy E. Paulson Jr Pc
Casper Children'S Dental Clinic is an health care organization with primary practice located at 102 N. Kenwood St. , Casper WY 82601-2724. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Roy E. Paulson Jr Pc can be contacted via phone (307) 266-1997, or through Paulson, Roy Edward via phone (307) 266-1997.

Contact Information

Primary practice address
102 N. Kenwood St. Casper WY 82601-2724
Fax: (307) 237-4424
Website:
Authorized official contact:
Name: Paulson, Roy Edward Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1750584173
LBN Legal business name Roy E. Paulson Jr Pc
DBA Doing business as Casper Children'S Dental Clinic
Authorized official Paulson, Roy Edward Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Mar 17th, 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 1750584173 NPPES
Wyoming MEDICAID 112331900
Wyoming Other A0H1301FUMCMEAT

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