| Highland Dental Llc | |
|
1555 E 12th St Casper WY 82601-4002 | |
| (307) 235-9198 | |
| (307) 235-3165 |
| Full Name | Highland Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1555 E 12th St, Casper, Wyoming |
| Authorized Official Name and Position | Philip Storrud (DENTIST) |
| Authorized Official Contact | 3072359198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Dental Llc 1555 E 12th St Casper WY 82601-4002 Ph: (307) 235-9198 | Highland Dental Llc 1555 E 12th St Casper WY 82601-4002 Ph: (307) 235-9198 |
| NPI Number | 1023882438 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023882438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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