| Alpine Family Dental Care P.c. | |
|
363 Deer Lane Alpine WY 83128 | |
| (907) 441-4569 | |
| Not Available |
| Full Name | Alpine Family Dental Care P.c. |
|---|---|
| Speciality | Dentist |
| Location | 363 Deer Lane, Alpine, Wyoming |
| Authorized Official Name and Position | Todd S Christensen (OWNER/PRESIDENT) |
| Authorized Official Contact | 9074414569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Family Dental Care P.c. 5018 E 41 N Ririe ID 83443-5038 Ph: (907) 441-4569 | Alpine Family Dental Care P.c. 363 Deer Lane Alpine WY 83128 Ph: (907) 441-4569 |
| NPI Number | 1376099044 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376099044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1444 (Wyoming) | Primary |
Dental Care Of Alpine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 363 Deer Lane, Alpine, WY 83128 Phone: 307-654-2273 | |
Alpine Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 363 Deer Lane, Alpine, WY 83128 Phone: 307-654-2273 Fax: 307-654-2275 |