| Grinnell Street Dental Group | |
|
108 E Grinnell St Sheridan WY 82801-3938 | |
| (307) 672-7567 | |
| (307) 673-0568 |
| Full Name | Grinnell Street Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 E Grinnell St, Sheridan, Wyoming |
| Authorized Official Name and Position | Donald E. Coon (GENERAL DENTIST/PRESIDENT) |
| Authorized Official Contact | 3076727567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grinnell Street Dental Group 108 E Grinnell St Sheridan WY 82801-3938 Ph: (307) 672-7567 | Grinnell Street Dental Group 108 E Grinnell St Sheridan WY 82801-3938 Ph: (307) 672-7567 |
| NPI Number | 1194084897 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194084897 | NPI | - | NPPES |
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