| Cody Dental Excellence | |
| 
					726 Allen Ave Cody WY 82414-3443  | |
| (307) 587-3000 | |
| (307) 587-3012 | 
| Full Name | Cody Dental Excellence | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 726 Allen Ave, Cody, Wyoming | 
| Authorized Official Name and Position | Devon Holeman (DENTIST) | 
| Authorized Official Contact | 3075873000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cody Dental Excellence 726 Allen Ave Cody WY 82414-3443 Ph: (307) 587-3000  | Cody Dental Excellence 726 Allen Ave Cody WY 82414-3443 Ph: (307) 587-3000  | 
| NPI Number | 1154696409 | 
|---|---|
| Provider Enumeration Date | 03/20/2012 | 
| Last Update Date | 03/20/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154696409 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1290 (Wyoming) | Primary | 
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Derrik Walton Dds & Darren J. Ruesch Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Bleistein Ave, Cody, WY 82414 Phone: 307-587-2951 Fax: 307-587-2760  | |
Billings Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Big Horn Ave Ste C, Cody, WY 82414 Phone: 307-587-5451  | |
Hill Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Beck Ave, Suite 1, Cody, WY 82414 Phone: 307-527-4455  | |
John A Bluher Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Beck Ave, Cody, WY 82414 Phone: 307-587-4151 Fax: 307-587-2152  |