| Mountain Dental Dubois - Ad Llc | |
|
104 N. 1st Street Dubois WY 82513 | |
| (307) 455-2229 | |
| Not Available |
| Full Name | Mountain Dental Dubois - Ad Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 N. 1st Street, Dubois, Wyoming |
| Authorized Official Name and Position | Taylor Ashcraft (EXECUTIVE ADVISOR) |
| Authorized Official Contact | 2087165669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Dental Dubois - Ad Llc Po Box 777 Dubois WY 82513-0777 Ph: (307) 455-2229 | Mountain Dental Dubois - Ad Llc 104 N. 1st Street Dubois WY 82513 Ph: (307) 455-2229 |
| NPI Number | 1477376929 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477376929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Whiskey Mountain Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 North 1st Street, Dubois, WY 82513 Phone: 307-455-2029 |