NPI: 1922437847
Provider Name: PRAIRIE SKY DENTAL
Former Legal Business Name: CAROL L. HUNGERFORD, DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
207 RICHARDS AVE
GILLETTE, WY
ZIP 82716
Phone: (307) 685-1111
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PRAIRIE SKY DENTAL is a general practice dentist in Gillette, 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. PRAIRIE SKY DENTAL NPI is 1922437847. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Carol L. Hungerford, Dds.
The provider's business location address is:
207 RICHARDS AVE
GILLETTE, WY
ZIP 82716-630
Phone: (307) 685-1111
The provider's authorized official is Carol L Anderson .
The authorized official title is Owner/dentist and has the following contact phone number (307) 685-1111.
The enumeration date for this NPI number is 11/1/2013 and was last updated on 11/1/2013.