| Cloud Peak Endodontics, P.C. | |
|
523 Val Vista St Sheridan WY 82801-3645 | |
| (307) 672-2580 | |
| (307) 674-9770 |
| Full Name | Cloud Peak Endodontics, P.C. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 523 Val Vista St, Sheridan, Wyoming |
| Authorized Official Name and Position | Ted Jeffery Stowe (OWNER) |
| Authorized Official Contact | 3076722580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloud Peak Endodontics, P.C. 523 Val Vista St Sheridan WY 82801-3645 Ph: (307) 672-2580 | Cloud Peak Endodontics, P.C. 523 Val Vista St Sheridan WY 82801-3645 Ph: (307) 672-2580 |
| NPI Number | 1972736627 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972736627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1087 (Wyoming) | Primary |
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