Wyoming Cosmetic And Family Dental

LBN: Wyoming Cosmetic And Family Dental
Wyoming Cosmetic And Family Dental is an health care organization with primary practice located at 4620 Grandview Ave , Cheyenne WY 82009-4963. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Wyoming Cosmetic And Family Dental can be contacted via phone (307) 635-2419, or through Whiting, Jason N via phone (307) 635-2419.

Contact Information

Primary practice address
4620 Grandview Ave Cheyenne WY 82009-4963
Phone: (307) 635-2419
Fax: (307) 772-3443
Website:
Map and Directions
Authorized official contact:
Name: Whiting, Jason N Doctor of Dental Medicine (DMD)
Phone: (307) 635-2419

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 1199 Wyoming

Profile Details

NPI number 1003069865
LBN Legal business name Wyoming Cosmetic And Family Dental
DBA Doing business as
Authorized official Whiting, Jason N Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2008
Last updated Oct 24th, 2008 - about 17 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 1003069865 NPPES
Wyoming Other 1265421077 INDIVIDUAL NPI

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