| Teton Oral & Maxillofacial Surgery | |
|
1160 Alpine Lane #1d Jackson WY 83002 | |
| (307) 739-8611 | |
| (307) 739-8613 |
| Full Name | Teton Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 1160 Alpine Lane, Jackson, Wyoming |
| Authorized Official Name and Position | Michael Stern (PRESIDENT) |
| Authorized Official Contact | 3077398611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teton Oral & Maxillofacial Surgery Po Box 9339 Jackson WY 83002-9339 Ph: (307) 739-8611 | Teton Oral & Maxillofacial Surgery 1160 Alpine Lane #1d Jackson WY 83002 Ph: (307) 739-8611 |
| NPI Number | 1164430971 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164430971 | NPI | - | NPPES |
| 119386400 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
Dental Care Of Jackson Hole, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 West Broadway, Centennial Building, Jackson, WY 83002 Phone: 307-732-2273 Fax: 307-732-1660 | |
Owens Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 S Hwy 89, Jackson, WY 83001 Phone: 307-733-3848 Fax: 307-733-8978 | |
Nathan Tanner Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Broadway, Jackson, WY 83001 Phone: 307-733-2555 | |
Smiles 4 Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 S Hwy 89, Suite 102, Jackson, WY 83001 Phone: 208-716-9724 | |
Larsen Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3103 W Big Trail Dr, Jackson, WY 83001 Phone: 307-733-4778 Fax: 307-734-8041 | |
James L. Derrico Dds Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1130 S Hwy 89, Jackson, WY 83001 Phone: 307-200-6644 |