| Creekside Dental Llc | |
|
642 Val Vista St Stuite #a Sheridan WY 82801-3659 | |
| (307) 674-9222 | |
| (307) 674-1765 |
| Full Name | Creekside Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 642 Val Vista St, Sheridan, Wyoming |
| Authorized Official Name and Position | Joseph Rollin Mccolley (OWNER/DENTIST) |
| Authorized Official Contact | 3076749222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental Llc 642 Val Vista St Stuite #a Sheridan WY 82801-3659 Ph: (307) 674-9222 | Creekside Dental Llc 642 Val Vista St Stuite #a Sheridan WY 82801-3659 Ph: (307) 674-9222 |
| NPI Number | 1285982025 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285982025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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