ASPEN RIDGE DENTAL LLC NPI 1649528456

NPI Information

NPI: 1649528456
Provider Name: ASPEN RIDGE DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1122 S CONWELL ST
CASPER, WY
ZIP 82601
Phone: (307) 234-6054
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ASPEN RIDGE DENTAL LLC is a dental clinic center in Casper, WY. ASPEN RIDGE DENTAL LLC NPI is 1649528456. The provider is registered as an organization entity type.

The provider's business location address is:

1122 S CONWELL ST
CASPER, WY
ZIP 82601-965
Phone: (307) 234-6054
Fax: (307) 234-7896

The provider's authorized official is Clis Adams .
The authorized official title is Office Manager and has the following contact phone number (307) 234-6054.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.

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
1	261QD0000X	Clinic/Center	Dental	1026	WYOMING	Yes

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

NPI Synchronization or Removal

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