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WHITE MOUNTAIN DENTAL NPI 1497988356


NPI Information

NPI: 1497988356
Provider Name: WHITE MOUNTAIN DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2701 FOOTHILL BLVD
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 362-2220
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WHITE MOUNTAIN DENTAL is a general practice dentist in Rock Springs, 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. WHITE MOUNTAIN DENTAL NPI is 1497988356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2701 FOOTHILL BLVD
ROCK SPRINGS, WY
ZIP 82901-889
Phone: (307) 362-2220
Fax: (307) 362-2322

The provider's authorized official is Tyler Barney Carlson .
The authorized official title is Owner/dentist and has the following contact phone number (307) 362-2220.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 3/9/2015.


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
11223G0001XDentistGeneral Practice1216WYOMINGYes

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: 11/14/2023

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