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CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES L.L.C NPI 1306046651


NPI Information

NPI: 1306046651
Provider Name: CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
6238 YELLOWSTONE RD
CHEYENNE, WY
ZIP 82009
Phone: (307) 635-6940
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CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C is an oral and maxillofacial surgery clinic center in Cheyenne, WY. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C NPI is 1306046651. The provider is registered as an organization entity type.

The provider's business location address is:

6238 YELLOWSTONE RD
CHEYENNE, WY
ZIP 82009-432
Phone: (307) 635-6940
Fax: (307) 635-2839

The provider's authorized official is Rex L. Dolan .
The authorized official title is Owner and has the following contact phone number (307) 635-6940.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 7/18/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121900600MEDICAIDWYOMING

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

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