| Livingston Dental | |
|
800 South Washington St. Afton WY 83110 | |
| (307) 885-4337 | |
| (307) 885-4334 |
| Full Name | Livingston Dental |
|---|---|
| Speciality | Dentist |
| Location | 800 South Washington St., Afton, Wyoming |
| Authorized Official Name and Position | Jeanelle Elmoyne Livingston (OPERATIONS LEADER) |
| Authorized Official Contact | 3078854337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Dental 800 South Washington St. 800 South Washington Afton WY 83110 Ph: (307) 885-4337 | Livingston Dental 800 South Washington St. Afton WY 83110 Ph: (307) 885-4337 |
| NPI Number | 1417351602 |
|---|---|
| Provider Enumeration Date | 10/16/2014 |
| Last Update Date | 04/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417351602 | NPI | - | NPPES |
| 112487100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 910 (Wyoming) | Primary |
James G. Livingston, Dds.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Street, Afton, WY 83110 Phone: 307-885-4337 | |
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 |