| Greybull Dental | |
| 
					337 Greybull Ave Greybull WY 82426  | |
| (307) 548-7654 | |
| Not Available | 
| Full Name | Greybull Dental | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 337 Greybull Ave, Greybull, Wyoming | 
| Authorized Official Name and Position | Lance Eldon Anderson (DENTIST/OWNER) | 
| Authorized Official Contact | 3075487654 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Greybull Dental 240 E. Main St. Lovell WY 82431 Ph: (307) 548-7654  | Greybull Dental 337 Greybull Ave Greybull WY 82426 Ph: (307) 548-7654  | 
| NPI Number | 1356817118 | 
|---|---|
| Provider Enumeration Date | 10/19/2018 | 
| Last Update Date | 10/19/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356817118 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
Samuel C Davidson Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 Greybull Ave, Greybull, WY 82426 Phone: 307-765-4654 Fax: 307-333-0494  |