Glenrock Family Dental

LBN: Casper Mountain Dental
Glenrock Family Dental is an health care organization with primary practice located at 925 W Birch Street , Glenrock WY 82637. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Casper Mountain Dental can be contacted via phone (307) 436-8770, or through Larsen, Aaron D via phone (307) 436-8770.

Contact Information

Primary practice address
925 W Birch Street Glenrock WY 82637
Phone: (307) 436-8770
Fax: (307) 436-8771
Website:
Map and Directions
Authorized official contact:
Name: Larsen, Aaron D Doctor of Dental Surgery (DDS)
Phone: (307) 436-8770

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1278 Wyoming

Profile Details

NPI number 1922470293
LBN Legal business name Casper Mountain Dental
DBA Doing business as Glenrock Family Dental
Authorized official Larsen, Aaron D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2015
Last updated Oct 27th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922470293 NPPES
Wyoming MEDICAID 131751200

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