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DERRIK WALTON DDS & DARREN J. RUESCH DDS PC NPI 1154523728


NPI Information

NPI: 1154523728
Provider Name: DERRIK WALTON DDS & DARREN J. RUESCH DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1525 BLEISTEIN AVE
CODY, WY
ZIP 82414
Phone: (307) 587-2951
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DERRIK WALTON DDS & DARREN J. RUESCH DDS, PC is a general practice dentist in Cody, WY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DERRIK WALTON DDS & DARREN J. RUESCH DDS, PC NPI is 1154523728. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1525 BLEISTEIN AVE
CODY, WY
ZIP 82414-806
Phone: (307) 587-2951
Fax: (307) 587-2760

The provider's authorized official is Derrik P Walton .
The authorized official title is President and has the following contact phone number (307) 587-2951.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1008 & 1135WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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