NPI: 1902147275
Provider Name: SHERIDAN WYO DENTAL
Former Legal Business Name: HAL QUIST, DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
2 N MAIN ST
STE 405
SHERIDAN, WY
ZIP 82801
Phone: (307) 672-7439
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SHERIDAN WYO DENTAL is a general practice dentist in Sheridan, 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. SHERIDAN WYO DENTAL NPI is 1902147275. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Hal Quist, Dds.
The provider's business location address is:
2 N MAIN ST
STE 405
SHERIDAN, WY
ZIP 82801-318
Phone: (307) 672-7439
The provider's authorized official is Pat Quist .
The authorized official title is Office Manager and has the following contact phone number (307) 672-2328.
The enumeration date for this NPI number is 3/11/2013 and was last updated on 3/11/2013.