| 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 |