Watt Dental Clinic, P.c. | |
2056 S Sheridan Ave Sheridan WY 82801-6105 | |
(307) 672-2421 | |
(307) 674-4285 |
Full Name | Watt Dental Clinic, P.c. |
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Speciality | Dentist - General Practice |
Location | 2056 S Sheridan Ave, Sheridan, Wyoming |
Authorized Official Name and Position | Melissa K. Watt (VICE PRESIDENT) |
Authorized Official Contact | 3076722421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Watt Dental Clinic, P.c. 2056 S Sheridan Ave Sheridan WY 82801-6105 Ph: (307) 672-2421 | Watt Dental Clinic, P.c. 2056 S Sheridan Ave Sheridan WY 82801-6105 Ph: (307) 672-2421 |
NPI Number | 1629230750 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629230750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1097 (Wyoming) | Primary |
1223G0001X | Dentist - General Practice | 814 (Wyoming) | Secondary |
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