| Bighorn Pediatric Dentistry | |
|
531 Coffeen Ave Sheridan WY 82801-5311 | |
| (307) 674-5437 | |
| (307) 655-8311 |
| Full Name | Bighorn Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 531 Coffeen Ave, Sheridan, Wyoming |
| Authorized Official Name and Position | David G Bailey (DOCTOR/OWNER) |
| Authorized Official Contact | 3076745437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bighorn Pediatric Dentistry 531 Coffeen Ave Sheridan WY 82801-5311 Ph: (307) 674-5437 | Bighorn Pediatric Dentistry 531 Coffeen Ave Sheridan WY 82801-5311 Ph: (307) 674-5437 |
| NPI Number | 1730886102 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730886102 | NPI | - | NPPES |
| 132885900 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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