| Smile Doctors Of Wyoming, P.c. | |
|
5040 E 2nd St Ste 2 Casper WY 82609-4468 | |
| (307) 224-1050 | |
| Not Available |
| Full Name | Smile Doctors Of Wyoming, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5040 E 2nd St Ste 2, Casper, Wyoming |
| Authorized Official Name and Position | Cory F Coombs (SOLE SHAREHOLDER) |
| Authorized Official Contact | 9702265505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Doctors Of Wyoming, P.c. 4360 Boardwalk Dr Ste 200 Fort Collins CO 80525-5940 Ph: (970) 226-5505 | Smile Doctors Of Wyoming, P.c. 5040 E 2nd St Ste 2 Casper WY 82609-4468 Ph: (307) 224-1050 |
| NPI Number | 1124521125 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124521125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1297 (Wyoming) | Primary |
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