| Prairie Sky Dental | |
|
207 Richards Ave Gillette WY 82716-3630 | |
| (307) 685-1111 | |
| Not Available |
| Full Name | Prairie Sky Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 207 Richards Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Carol L Anderson (OWNER/DENTIST) |
| Authorized Official Contact | 3076851111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Sky Dental 207 Richards Ave Gillette WY 82716-3630 Ph: (307) 685-1111 | Prairie Sky Dental 207 Richards Ave Gillette WY 82716-3630 Ph: (307) 685-1111 |
| NPI Number | 1922437847 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 11/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922437847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1014 (Wyoming) | Primary |
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