| Gillette Pediatric Dentistry Llc | |
|
433 Shadow Ridge Blvd Sheridan WY 82801-9350 | |
| (307) 670-8118 | |
| Not Available |
| Full Name | Gillette Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 433 Shadow Ridge Blvd, Sheridan, Wyoming |
| Authorized Official Name and Position | David Glenn Bailey (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3076708118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillette Pediatric Dentistry Llc 530 Running W Drive Suite 100 Gillette WY 82718-2003 Ph: (307) 670-8118 | Gillette Pediatric Dentistry Llc 433 Shadow Ridge Blvd Sheridan WY 82801-9350 Ph: (307) 670-8118 |
| NPI Number | 1013289966 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013289966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1271 (Wyoming) | Primary |
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