| Bighorn Orthodontics Llc | |
|
642 Val Vista St Suite B Sheridan WY 82801-3659 | |
| (307) 672-6917 | |
| Not Available |
| Full Name | Bighorn Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 642 Val Vista St, Sheridan, Wyoming |
| Authorized Official Name and Position | Micah G. Mortensen (OWNER) |
| Authorized Official Contact | 8018312662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bighorn Orthodontics Llc 642 Val Vista St Suite B Sheridan WY 82801-3659 Ph: (307) 672-6917 | Bighorn Orthodontics Llc 642 Val Vista St Suite B Sheridan WY 82801-3659 Ph: (307) 672-6917 |
| NPI Number | 1295130631 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295130631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1344 (Wyoming) | Primary |
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