RIVERTON SMILES NPI 1770860595

NPI Information

RIVERTON SMILES is a general practice dentist in Riverton, 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. RIVERTON SMILES NPI is 1770860595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1224 EAST JACKSON AVE
RIVERTON, WY
ZIP 82501-841
Phone: (307) 856-3463
Fax: (307) 856-9910

The provider's authorized official is Joshua G Wagner .
The authorized official title is Dentist and has the following contact phone number (307) 856-3463.

The enumeration date for this NPI number is 11/8/2011 and was last updated on 11/8/2011.

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:

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