| |
303 S 8th St Laramie WY 82070-3914 | |
(307) 742-0722 | |
(307) 742-0727 |
Full Name | |
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Speciality | Dentist |
Location | 303 S 8th St, Laramie, Wyoming |
Authorized Official Name and Position | Jennifer Rae Doser (PRESIDENT) |
Authorized Official Contact | 3077420722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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303 S 8th St Laramie WY 82070-3914 Ph: (307) 742-0722 | 303 S 8th St Laramie WY 82070-3914 Ph: (307) 742-0722 |
NPI Number | 1073973780 |
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Provider Enumeration Date | 02/24/2016 |
Last Update Date | 08/25/2016 |
Medicare PECOS PAC ID | 9032401732 |
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Medicare Enrollment ID | O20160715000697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073973780 | NPI | - | NPPES |
129817800 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1255 (Wyoming) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Larame Dental Arts Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 N 4th St, Laramie, WY 82072 Phone: 307-745-5020 Fax: 307-745-0856 | |
Summit View Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 E Grand Ave Unit B, Laramie, WY 82070 Phone: 307-631-9262 | |
Laramie Family Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3529 E Grand Ave, Laramie, WY 82070 Phone: 307-742-8484 | |
Laramie Family Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3529 E Grand Ave, Laramie, WY 82070 Phone: 307-742-8484 |