| Pronghorn Family Dentistry LLC | |
|
109 W Lakeway Rd Ste B Gillette WY 82718-6352 | |
| (307) 686-1605 | |
| (307) 682-4659 |
| Full Name | Pronghorn Family Dentistry LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 W Lakeway Rd Ste B, Gillette, Wyoming |
| Authorized Official Name and Position | Catherine Dawn Strohschein (OWNER DENTIST) |
| Authorized Official Contact | 3076861605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pronghorn Family Dentistry LLC 109 W Lakeway Rd Ste B Gillette WY 82718-6352 Ph: (307) 686-1605 | Pronghorn Family Dentistry LLC 109 W Lakeway Rd Ste B Gillette WY 82718-6352 Ph: (307) 686-1605 |
| NPI Number | 1407877681 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407877681 | NPI | - | NPPES |
| 112509500 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 989 (Wyoming) | Primary |
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