| Dental Care Of Jackson Hole, Llc | |
|
363 Deer Lane Alpine WY 83128 | |
| (307) 654-2273 | |
| Not Available |
| Full Name | Dental Care Of Jackson Hole, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 363 Deer Lane, Alpine, Wyoming |
| Authorized Official Name and Position | Erin Rathband-smith (OFFICE MANAGER) |
| Authorized Official Contact | 3076542273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Jackson Hole, Llc Po Box 3469 Alpine WY 83128-0469 Ph: (307) 654-2273 | Dental Care Of Jackson Hole, Llc 363 Deer Lane Alpine WY 83128 Ph: (307) 654-2273 |
| NPI Number | 1417074261 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 04/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417074261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Alpine Family Dental Care P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 363 Deer Lane, Alpine, WY 83128 Phone: 907-441-4569 | |
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 |