| Vitality Dental, Llc | |
|
1401 Airport Pkwy Ste 130 Cheyenne WY 82001-1524 | |
| (307) 221-2621 | |
| Not Available |
| Full Name | Vitality Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1401 Airport Pkwy Ste 130, Cheyenne, Wyoming |
| Authorized Official Name and Position | Robert R Meyer (DENTIST/ORGANIZER) |
| Authorized Official Contact | 3072212621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Dental, Llc 1401 Airport Pkwy Ste 130 Cheyenne WY 82001-1524 Ph: (307) 221-2621 | Vitality Dental, Llc 1401 Airport Pkwy Ste 130 Cheyenne WY 82001-1524 Ph: (307) 221-2621 |
| NPI Number | 1316794951 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316794951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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