| White Mountain Dental | |
|
2701 Foothill Blvd Rock Springs WY 82901-4889 | |
| (307) 362-2220 | |
| (307) 362-2322 |
| Full Name | White Mountain Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2701 Foothill Blvd, Rock Springs, Wyoming |
| Authorized Official Name and Position | Tyler Barney Carlson (OWNER/DENTIST) |
| Authorized Official Contact | 3073622220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Dental 2701 Foothill Blvd Rock Springs WY 82901-4889 Ph: (307) 362-2220 | White Mountain Dental 2701 Foothill Blvd Rock Springs WY 82901-4889 Ph: (307) 362-2220 |
| NPI Number | 1497988356 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497988356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1216 (Wyoming) | Primary |
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