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ELK RIDGE DENTAL NPI 1497845127


NPI Information

NPI: 1497845127
Provider Name: ELK RIDGE DENTAL

Doing Business As: ELKRIDGE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
200 EAST BROADWAY
JACKSON, WY
ZIP 83001
Phone: (307) 733-2555
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ELK RIDGE DENTAL is a general practice dentist in Jackson, 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. ELK RIDGE DENTAL NPI is 1497845127. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elkridge Dental.

The provider's business location address is:

200 EAST BROADWAY
JACKSON, WY
ZIP 83001
Phone: (307) 733-2555
Fax: (307) 733-2552

The provider's authorized official is Aaron Galbraith .
The authorized official title is Owner and has the following contact phone number (307) 733-2555.

The enumeration date for this NPI number is 10/13/2006 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 Practice1083WYOMINGYes

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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