DR. BRADLEY K WALGREN DDS NPI 1093749145

NPI Information

  • NPI: 1093749145
  • Provider Name: DR. BRADLEY K WALGREN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3421 E GARFIELD
    LARAMIE, WY
    ZIP 82070
  • Phone: (307) 745-8513

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NPI Details

DR. Bradley K Walgren, DDS is a general practice dentist in Laramie, 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. DR. Bradley K Walgren, DDS NPI is 1093749145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

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

The enumeration date for this NPI number is 7/11/2006 and was last updated on 2/16/2017.

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
11223G0001XDentistGeneral Practice921WYOMINGYes

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
1112311400MEDICAIDWYOMING

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: 3/30/2025

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