Grand Avenue Dental Center

LBN: Jennifer Doser Dmd Pc
Grand Avenue Dental Center is an health care organization with primary practice located at 303 S 8Th St , Laramie WY 82070-3914. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Jennifer Doser Dmd Pc can be contacted via phone (307) 742-0722, or through Doser, Jennifer Rae via phone (307) 742-0722.

Contact Information

Primary practice address
303 S 8Th St Laramie WY 82070-3914
Phone: (307) 742-0722
Fax: (307) 742-0727
Website:
Map and Directions
Authorized official contact:
Name: Doser, Jennifer Rae Doctor of Dental Medicine (DMD)
Phone: (307) 742-0722

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1255 Wyoming
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1073973780
LBN Legal business name Jennifer Doser Dmd Pc
DBA Doing business as Grand Avenue Dental Center
Authorized official Doser, Jennifer Rae Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2016
Last updated Aug 25th, 2016 - about 9 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 1073973780 NPPES
Wyoming MEDICAID 129817800

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