| 2brewersandacanuckdental Llc | |
|
50 Arrowhead Dr Evanston WY 82930-9243 | |
| (307) 789-5210 | |
| Not Available |
| Full Name | 2brewersandacanuckdental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 50 Arrowhead Dr, Evanston, Wyoming |
| Authorized Official Name and Position | Jordan Argyle (PRESIDENT) |
| Authorized Official Contact | 3077895210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2brewersandacanuckdental Llc 50 Arrowhead Dr Evanston WY 82930-9243 Ph: (307) 789-5210 | 2brewersandacanuckdental Llc 50 Arrowhead Dr Evanston WY 82930-9243 Ph: (307) 789-5210 |
| NPI Number | 1508532482 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508532482 | NPI | - | NPPES |
| 140937900 | Medicaid | WY | |
| 125569000 | Medicaid | WY | |
| 119553100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Evanston Dental,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 Highway 150 S, Evanston, WY 82930 Phone: 307-789-0500 | |
Blue Tooth Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Cheyenne Dr, Suite C, Evanston, WY 82930 Phone: 307-789-9034 Fax: 307-789-9065 | |
Health West, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Yellow Creek Rd, Evanston, WY 82930 Phone: 208-232-7862 | |
D Mckay Francom Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Arrowhead Dr, Suite 1, Evanston, WY 82930 Phone: 307-789-8910 Fax: 307-789-5557 | |