| Moss Dentistry | |
|
203 E Main Street, Suite 205 Riverton WY 82501 | |
| (307) 857-2020 | |
| (307) 857-2727 |
| Full Name | Moss Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 E Main Street, Suite 205, Riverton, Wyoming |
| Authorized Official Name and Position | Shelley J Griffin (OFFICE MANAGER) |
| Authorized Official Contact | 3078572020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Dentistry 203 E Main Street, Suite 205 Riverton WY 82501 Ph: (307) 857-2020 | Moss Dentistry 203 E Main Street, Suite 205 Riverton WY 82501 Ph: (307) 857-2020 |
| NPI Number | 1962806331 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962806331 | NPI | - | NPPES |
| 127527500 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1220 (Wyoming) | Primary |
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