Teton Oral & Maxillofacial Surgery
LBN: Teton Oral & Maxillofacial Surgery
Teton Oral & Maxillofacial Surgery is an health care organization with primary practice located at 1160 Alpine Lane #1D, Jackson WY 83002. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty.
Teton Oral & Maxillofacial Surgery can be contacted via phone (307) 739-8611, or through Stern, Michael via phone (307) 739-8611.
Contact Information
Primary practice address
1160 Alpine Lane #1D
Jackson WY 83002
Phone: (307) 739-8611
Fax: (307) 739-8613
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
NPI number | 1164430971 |
---|---|
LBN Legal business name | Teton Oral & Maxillofacial Surgery |
DBA Doing business as | |
Authorized official | Stern, Michael DMD PHD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Jul 26th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164430971 | NPPES |
Wyoming | MEDICAID | 119386400 |
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