| Whiskey Mountain Dental | |
|
108 North 1st Street Dubois WY 82513 | |
| (307) 455-2029 | |
| Not Available |
| Full Name | Whiskey Mountain Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 North 1st Street, Dubois, Wyoming |
| Authorized Official Name and Position | Marie Day (OFFICE MANAGER DENTAL ASSISTANT) |
| Authorized Official Contact | 3074552229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whiskey Mountain Dental Po Box 783 Dubois WY 82513-0783 Ph: (307) 455-2229 | Whiskey Mountain Dental 108 North 1st Street Dubois WY 82513 Ph: (307) 455-2029 |
| NPI Number | 1710004569 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710004569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mountain Dental Dubois - Ad Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N. 1st Street, Dubois, WY 82513 Phone: 307-455-2229 |