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OIL CITY DENTAL LLC NPI 1629441290


NPI Information

NPI: 1629441290
Provider Name: OIL CITY DENTAL LLC

Former Legal Business Name: TRU DENTAL LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1347 S BEVERLY ST
CASPER, WY
ZIP 82609
Phone: (307) 577-0577
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OIL CITY DENTAL LLC is a general practice dentist in Casper, 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. OIL CITY DENTAL LLC NPI is 1629441290. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tru Dental Llc.

The provider's business location address is:

1347 S BEVERLY ST
CASPER, WY
ZIP 82609-133
Phone: (307) 577-0577
Fax: (307) 234-4655

The provider's authorized official is Kristie Jo Mooney .
The authorized official title is Office Manager and has the following contact phone number (307) 577-0577.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 10/20/2017.


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 Practice1233WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11023343852MEDICAIDWYOMING
2120733400MEDICAIDWYOMING

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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