| Granite Springs Dentistry, Llc | |
|
2316 Dell Range Blvd Cheyenne WY 82009-5191 | |
| (720) 670-0798 | |
| Not Available |
| Full Name | Granite Springs Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2316 Dell Range Blvd, Cheyenne, Wyoming |
| Authorized Official Name and Position | Merrill Bassett (OWNER) |
| Authorized Official Contact | 7206700798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Springs Dentistry, Llc 2316 Dell Range Blvd Cheyenne WY 82009-5191 Ph: (720) 670-0798 | Granite Springs Dentistry, Llc 2316 Dell Range Blvd Cheyenne WY 82009-5191 Ph: (720) 670-0798 |
| NPI Number | 1033476239 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033476239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1270 (Wyoming) | Primary |
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