| Mountain West Dental | |
|
207 Richards Ave Gillette WY 82716-3630 | |
| (307) 685-1111 | |
| Not Available |
| Full Name | Mountain West Dental |
|---|---|
| Speciality | Dentist |
| Location | 207 Richards Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Aaron Erickson (DENTIST) |
| Authorized Official Contact | 3076851111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain West Dental 207 Richards Ave Gillette WY 82716-3630 Ph: (307) 685-1111 | Mountain West Dental 207 Richards Ave Gillette WY 82716-3630 Ph: (307) 685-1111 |
| NPI Number | 1346606654 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346606654 | NPI | - | NPPES |
| 1982003455 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1373 (Wyoming) | Primary |
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