| Designer Smiles Llc | |
|
405 E 19th St Cheyenne WY 82001-4643 | |
| (307) 343-5676 | |
| Not Available |
| Full Name | Designer Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 E 19th St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Chad Michael Clark (PRESIDENT) |
| Authorized Official Contact | 3072409966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Designer Smiles Llc 604 Meadowlark Ln Riverton WY 82501-2214 Ph: (307) 343-5676 | Designer Smiles Llc 405 E 19th St Cheyenne WY 82001-4643 Ph: (307) 343-5676 |
| NPI Number | 1093589863 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093589863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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