Casper Mountain Dental Dba Advanced Family Dental

LBN: Casper Mountain Dental Dba Advanced Family Dental
Casper Mountain Dental Dba Advanced Family Dental is an health care organization with primary practice located at 1431 S. Beverly Street , Casper WY 82609. 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 Dba Advanced Family Dental can be contacted via phone (307) 265-5334, or through Larsen, Aaron via phone (307) 259-0058.

Contact Information

Primary practice address
1431 S. Beverly Street Casper WY 82609
Phone: (307) 265-5334
Fax: (307) 265-5336
Website:
Map and Directions
Authorized official contact:
Name: Larsen, Aaron Doctor of Dental Surgery (DDS)
Phone: (307) 259-0058

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1164147666
LBN Legal business name Casper Mountain Dental Dba Advanced Family Dental
DBA Doing business as
Authorized official Larsen, Aaron Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2022
Last updated Oct 6th, 2022 - about 4 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 1164147666 NPPES
Wyoming MEDICAID 131751200

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