| Blue Tooth Dental Inc. | |
|
545 Cheyenne Dr Suite C Evanston WY 82930-5323 | |
| (307) 789-9034 | |
| (307) 789-9065 |
| Full Name | Blue Tooth Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 545 Cheyenne Dr, Evanston, Wyoming |
| Authorized Official Name and Position | Sherry Hancock (OFFICE MANAGER) |
| Authorized Official Contact | 3077899034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Tooth Dental Inc. 545 Cheyenne Dr Suite C Evanston WY 82930-5323 Ph: (307) 789-9034 | Blue Tooth Dental Inc. 545 Cheyenne Dr Suite C Evanston WY 82930-5323 Ph: (307) 789-9034 |
| NPI Number | 1063664795 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063664795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 715 (Wyoming) | Primary |
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