CHILDREN'S DENTISTRY LLC NPI 1649488743

NPI Information

NPI: 1649488743
Provider Name: CHILDREN'S DENTISTRY LLC

Doing Business As: THE SMILE ACADEMY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6900 YELLOWTAIL RD STE 100
CHEYENNE, WY
ZIP 82009
Phone: (307) 635-9251
Get Directions

CHILDREN'S DENTISTRY LLC is a pediatric dentistry dentist in Cheyenne, WY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CHILDREN'S DENTISTRY LLC NPI is 1649488743. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Smile Academy.

The provider's business location address is:

6900 YELLOWTAIL RD STE 100
CHEYENNE, WY
ZIP 82009-102
Phone: (307) 635-9251
Fax: (307) 635-9218

The provider's authorized official is Molly Cantine .
The authorized official title is Insurance Coordinator and has the following contact phone number (307) 635-9251.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 3/31/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			No
2	1223P0221X	Dentist	Pediatric Dentistry	1040	WYOMING	No
3	1223P0221X	Dentist	Pediatric Dentistry	1108	WYOMING	No
4	1223P0221X	Dentist	Pediatric Dentistry			Yes
5	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics			No

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

NPI Synchronization or Removal

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