DENTAL ARTS PC NPI 1801337902

NPI Information

NPI: 1801337902
Provider Name: DENTAL ARTS PC

Doing Business As: WALGREN DENTAL ARTS PC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3421 E GARFIELD ST
LARAMIE, WY
ZIP 82070
Phone: (307) 745-8513
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DENTAL ARTS PC is a dental clinic center in Laramie, WY. DENTAL ARTS PC NPI is 1801337902. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgren Dental Arts Pc.

The provider's business location address is:

3421 E GARFIELD ST
LARAMIE, WY
ZIP 82070-163
Phone: (307) 745-8513
Fax: (307) 745-0263

The provider's authorized official is Bradley K Walgren .
The authorized official title is Dentist/owner and has the following contact phone number (307) 745-8513.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	921	WYOMING	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112311400	MEDICAID	WYOMING

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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