Kincheloe & Tonso Family Dentistry Llc | |
6244 Yellowstone Rd Cheyenne WY 82009-3432 | |
(307) 638-8520 | |
(307) 638-6857 |
Full Name | Kincheloe & Tonso Family Dentistry Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 6244 Yellowstone Rd, Cheyenne, Wyoming |
Authorized Official Name and Position | Bradley Burns Kincheloe (DENTIST) |
Authorized Official Contact | 3076388520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kincheloe & Tonso Family Dentistry Llc 6244 Yellowstone Rd Cheyenne WY 82009-3432 Ph: (307) 638-8520 | Kincheloe & Tonso Family Dentistry Llc 6244 Yellowstone Rd Cheyenne WY 82009-3432 Ph: (307) 638-8520 |
NPI Number | 1033574827 |
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Provider Enumeration Date | 12/21/2015 |
Last Update Date | 12/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033574827 | NPI | - | NPPES |
116897500 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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