AESTHETIC DENTISTRY PC NPI 1487635926

NPI Information

  • NPI: 1487635926
  • Provider Name: AESTHETIC DENTISTRY PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: ERIC A DZIURDZIEL DDS & MARY KAY KRIVY DDS PC
  • Address: 2029 BLUEGRASS CIR
    CHEYENNE, WY
    ZIP 82009
  • Phone: (307) 632-6597

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NPI Details

AESTHETIC DENTISTRY PC is a general practice dentist in Cheyenne, 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. AESTHETIC DENTISTRY PC NPI is 1487635926. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Eric A Dziurdziel Dds & Mary Kay Krivy Dds Pc.

The provider's business location address is:

2029 BLUEGRASS CIR
CHEYENNE, WY
ZIP 82009-368
Phone: (307) 632-6597
Fax: (307) 632-2170

The provider's authorized official is Mary Kay Krivy .
The authorized official title is Dds Dentist and has the following contact phone number (307) 632-6597.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 8/22/2020.

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 PracticeWY967WYOMINGNo
21223G0001XDentistGeneral PracticeWY963WYOMINGYes

What is NPI?

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This page was last updated on: 11/21/2025

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