| Goose Creek Dental Clinic | |
|
642 Val Vista St Ste B Sheridan WY 82801-3660 | |
| (307) 655-8661 | |
| (307) 655-8662 |
| Full Name | Goose Creek Dental Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 642 Val Vista St Ste B, Sheridan, Wyoming |
| Authorized Official Name and Position | Monica Burridge (PRACTICE MANAGER) |
| Authorized Official Contact | 3076558661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goose Creek Dental Clinic 642 Val Vista St Ste B Sheridan WY 82801-3660 Ph: (307) 655-8661 | Goose Creek Dental Clinic 642 Val Vista St Ste B Sheridan WY 82801-3660 Ph: (307) 655-8661 |
| NPI Number | 1215414875 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215414875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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