| Alpine Denitstry | |
|
945 W Broadway Ave Apt 201 Jackson WY 83001-8217 | |
| (307) 734-5200 | |
| (307) 733-2922 |
| Full Name | Alpine Denitstry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 945 W Broadway Ave Apt 201, Jackson, Wyoming |
| Authorized Official Name and Position | Kiffin Hansen (OFFICE MANAGER) |
| Authorized Official Contact | 3077345200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Denitstry Po Box 11779 Jackson WY 83002-1779 Ph: (307) 734-5200 | Alpine Denitstry 945 W Broadway Ave Apt 201 Jackson WY 83001-8217 Ph: (307) 734-5200 |
| NPI Number | 1619503349 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 03/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619503349 | NPI | - | NPPES |
| 1669683025 | Other | WY | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Rj Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 West Broadway Ave, Suite 106, Jackson, WY 83001 Phone: 307-732-2273 Fax: 307-732-1660 | |
Owens Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 S Hwy 89, Jackson, WY 83001 Phone: 307-733-3848 Fax: 307-733-8978 | |
Nathan Tanner Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Broadway, Jackson, WY 83001 Phone: 307-733-2555 | |
Teton Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 Alpine Lane, #1d, Jackson, WY 83002 Phone: 307-739-8611 Fax: 307-739-8613 | |
Smiles 4 Kids Jackson Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 S Hwy 89, Suite 102, Jackson, WY 83001 Phone: 208-716-9724 | |
Larsen Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3103 W Big Trail Dr, Jackson, WY 83001 Phone: 307-733-4778 Fax: 307-734-8041 | |
James L. Derrico Dds Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1130 S Hwy 89, Jackson, WY 83001 Phone: 307-200-6644 |