GOOSE CREEK DENTAL CLINIC is a clinic center in Sheridan, WY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GOOSE CREEK DENTAL CLINIC NPI is 1215414875. The provider is registered as an organization entity type.
The provider's business location address is:
642 VAL VISTA ST STE B
SHERIDAN, WY
ZIP 82801-660
Phone: (307) 655-8661
Fax: (307) 655-8662
The provider's authorized official is Monica Burridge .
The authorized official title is Practice Manager and has the following contact phone number (307) 655-8661.
The CLIA number assigned to this NPI record is 53D0903460 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/25/2018 and was last updated on 7/25/2018.