| Rj Smiles, Llc | |
|
610 West Broadway Ave Suite 106 Jackson WY 83001 | |
| (307) 732-2273 | |
| (307) 732-1660 |
| Full Name | Rj Smiles, Llc |
|---|---|
| Speciality | Dentist |
| Location | 610 West Broadway Ave, Jackson, Wyoming |
| Authorized Official Name and Position | Paula J Ridgeway (MANAGING PARTNER) |
| Authorized Official Contact | 3077322273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rj Smiles, Llc P.o. Box 9340 Jackson WY 83002-9340 Ph: (307) 732-2273 | Rj Smiles, Llc 610 West Broadway Ave Suite 106 Jackson WY 83001 Ph: (307) 732-2273 |
| NPI Number | 1063539963 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 10/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063539963 | NPI | - | NPPES |
| 119801700 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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 |