| Deer Creek Dentistry, Pc | |
|
514 South Durbin Street Casper WY 82601 | |
| (307) 235-5344 | |
| (307) 473-8588 |
| Full Name | Deer Creek Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 514 South Durbin Street, Casper, Wyoming |
| Authorized Official Name and Position | Brian Rodney Rochelle (DENTIST/OWNER) |
| Authorized Official Contact | 3072355344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Creek Dentistry, Pc 514 South Durbin Street Casper WY 82601 Ph: (307) 235-5344 | Deer Creek Dentistry, Pc 514 South Durbin Street Casper WY 82601 Ph: (307) 235-5344 |
| NPI Number | 1457877987 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 08/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457877987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1319 (Wyoming) | Primary |
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