SUNLIGHT DENTAL NPI 1912642604

NPI Information

NPI: 1912642604
Provider Name: SUNLIGHT DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2120 LOGAN AVE
CHEYENNE, WY
ZIP 82001
Phone: (307) 638-8071
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SUNLIGHT DENTAL is a dental clinic center in Cheyenne, WY. SUNLIGHT DENTAL NPI is 1912642604. The provider is registered as an organization entity type.

The provider's business location address is:

2120 LOGAN AVE
CHEYENNE, WY
ZIP 82001-131
Phone: (307) 638-8071

The provider's authorized official is Chad Clark Christiansen .
The authorized official title is Managing Member and has the following contact phone number (307) 331-8293.

The enumeration date for this NPI number is 4/28/2022 and was last updated on 4/28/2022.

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			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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