Dr Sandra Wilson, DDS | |
29 Black Coal Drive, Fort Washakie, WY 82514 | |
(307) 332-7300 | |
Not Available |
Full Name | Dr Sandra Wilson |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 29 Black Coal Drive, Fort Washakie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235348962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5561 (Oklahoma) | Primary |
Entity Name | Us Health Dept Of Health & Human Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
Mailing Address | Practice Location Address |
---|---|
Dr Sandra Wilson, DDS 100 Cheyenne Avenue, Lame Deer, MT 59043-0070 Ph: () - | Dr Sandra Wilson, DDS 29 Black Coal Drive, Fort Washakie, WY 82514 Ph: (307) 332-7300 |
Andrew Foster Huff, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Black Coal Dr, Fort Washakie, WY 82514 Phone: 307-332-7300 Fax: 307-332-3949 | |
Dr. Kevin Michael Sheridan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 29 Black Coal Dr, Fort Washakie, WY 82514 Phone: 307-332-7300 | |
Dr. Jason Adam Jurca, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Black Coal Drive, Fort Washakie, WY 82514 Phone: 307-332-7300 |