Kemmerer Dental Associates | |
100 Canyon Road Diamondville WY 83116-0314 | |
(307) 877-6951 | |
(307) 877-4149 |
Full Name | Kemmerer Dental Associates |
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Speciality | Dentist - General Practice |
Location | 100 Canyon Road, Diamondville, Wyoming |
Authorized Official Name and Position | Karen A Cheek (DIRECT OWNER) |
Authorized Official Contact | 3078776951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kemmerer Dental Associates Po Box 314 Diamondville WY 83116-0314 Ph: (307) 877-6951 | Kemmerer Dental Associates 100 Canyon Road Diamondville WY 83116-0314 Ph: (307) 877-6951 |
NPI Number | 1902946932 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 07/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902946932 | NPI | - | NPPES |
112357200 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 799 (Wyoming) | Primary |