| Jeffries Dental, P.c. | |
|
3313 Paintbrush Lane Worland WY 82401 | |
| (307) 347-3994 | |
| (307) 347-3697 |
| Full Name | Jeffries Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3313 Paintbrush Lane, Worland, Wyoming |
| Authorized Official Name and Position | L. Carl Jeffries (DENTIST-CO-OWNER) |
| Authorized Official Contact | 3073880137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffries Dental, P.c. 3313 Paintbrush Lane Worland WY 82401 Ph: (307) 347-3994 | Jeffries Dental, P.c. 3313 Paintbrush Lane Worland WY 82401 Ph: (307) 347-3994 |
| NPI Number | 1316147952 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316147952 | NPI | - | NPPES |
| 113828600 | Medicaid | WY | |
| 113370500 | Medicaid | WY | |
| 113827800 | Medicaid | WY | |
| 113829400 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1005 (Wyoming) | Primary |
| 1223G0001X | Dentist - General Practice | 1041 (Wyoming) | Secondary |
Nelson & Page Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 South 7th St, Worland, WY 82401 Phone: 307-347-2544 Fax: 307-347-2352 |