| Sheridan Wyo Dental | |
|
2 N Main St Ste 405 Sheridan WY 82801-6318 | |
| (307) 672-7439 | |
| Not Available |
| Full Name | Sheridan Wyo Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 N Main St, Sheridan, Wyoming |
| Authorized Official Name and Position | Pat Quist (OFFICE MANAGER) |
| Authorized Official Contact | 3076722328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Wyo Dental 2 N Main St Ste 405 Sheridan WY 82801-6318 Ph: (307) 672-7439 | Sheridan Wyo Dental 2 N Main St Ste 405 Sheridan WY 82801-6318 Ph: (307) 672-7439 |
| NPI Number | 1902147275 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 03/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902147275 | NPI | - | NPPES |
| 106690100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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