| Jackson Family Dentistry | |
|
1115 Mapleway Jackson WY 83001 | |
| (307) 733-7044 | |
| (307) 734-1409 |
| Full Name | Jackson Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1115 Mapleway, Jackson, Wyoming |
| Authorized Official Name and Position | Cary G. Smith (GENERAL PARTNER) |
| Authorized Official Contact | 3077337044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Dentistry Po Box 9248 Jackson WY 83002-9248 Ph: (307) 733-7044 | Jackson Family Dentistry 1115 Mapleway Jackson WY 83001 Ph: (307) 733-7044 |
| NPI Number | 1457485732 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457485732 | NPI | - | NPPES |
| 112319000 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 756 (Wyoming) | Primary |
Dental Care Of Jackson Hole, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 West Broadway, Centennial Building, Jackson, WY 83002 Phone: 307-732-2273 Fax: 307-732-1660 | |
Owens Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 S Hwy 89, Jackson, WY 83001 Phone: 307-733-3848 Fax: 307-733-8978 | |
Nathan Tanner Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Broadway, Jackson, WY 83001 Phone: 307-733-2555 | |
Teton Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 Alpine Lane, #1d, Jackson, WY 83002 Phone: 307-739-8611 Fax: 307-739-8613 | |
Smiles 4 Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 S Hwy 89, Suite 102, Jackson, WY 83001 Phone: 208-716-9724 | |
Larsen Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3103 W Big Trail Dr, Jackson, WY 83001 Phone: 307-733-4778 Fax: 307-734-8041 | |
James L. Derrico Dds Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1130 S Hwy 89, Jackson, WY 83001 Phone: 307-200-6644 |