| James G. Livingston, Dds.,pc | |
|
800 Washington Street Afton WY 83110-1709 | |
| (307) 885-4337 | |
| Not Available |
| Full Name | James G. Livingston, Dds.,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 800 Washington Street, Afton, Wyoming |
| Authorized Official Name and Position | James Garry Livingston (PRESIDENT) |
| Authorized Official Contact | 3078834337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James G. Livingston, Dds.,pc Po Box 1709 Afton WY 83110-1709 Ph: (307) 883-4337 | James G. Livingston, Dds.,pc 800 Washington Street Afton WY 83110-1709 Ph: (307) 885-4337 |
| NPI Number | 1194980227 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194980227 | NPI | - | NPPES |
| 805327400 | Medicaid | ID | |
| 112487100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Livingston Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 South Washington St., Afton, WY 83110 Phone: 307-885-4337 Fax: 307-885-4334 | |
Star Valley Dental 1 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N Washington St, Afton, WY 83110 Phone: 307-885-4355 | |
Star Valley Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 No Washington Street, Afton, WY 83110 Phone: 307-885-4355 |