| Kemmerer Dental Inc | |
|
100 Canyon Road Diamondville WY 83116-0314 | |
| (307) 877-6951 | |
| (307) 877-4149 |
| Full Name | Kemmerer Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Canyon Road, Diamondville, Wyoming |
| Authorized Official Name and Position | Karen A Cheek (DIRECT OWNER) |
| Authorized Official Contact | 3078776951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kemmerer Dental Inc Po Box 314 Diamondville WY 83116-0314 Ph: (307) 877-6951 | Kemmerer Dental Inc 100 Canyon Road Diamondville WY 83116-0314 Ph: (307) 877-6951 |
| NPI Number | 1902946932 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902946932 | NPI | - | NPPES |
| 112357200 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 799 (Wyoming) | Primary |