| Star Valley Dental Llc | |
|
725 No Washington Street Afton WY 83110 | |
| (307) 885-4355 | |
| Not Available |
| Full Name | Star Valley Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 725 No Washington Street, Afton, Wyoming |
| Authorized Official Name and Position | Holly J Weston (SECRETARY) |
| Authorized Official Contact | 3078854355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Valley Dental Llc Po Box 1390 Afton WY 83110-1390 Ph: (307) 885-4355 | Star Valley Dental Llc 725 No Washington Street Afton WY 83110 Ph: (307) 885-4355 |
| NPI Number | 1598818361 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598818361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
James G. Livingston, Dds.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Street, Afton, WY 83110 Phone: 307-885-4337 | |
Livingston Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 South Washington St., Afton, WY 83110 Phone: 307-885-4337 Fax: 307-885-4334 | |
Star Valley Dental 1 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N Washington St, Afton, WY 83110 Phone: 307-885-4355 |