Pinedale Dental

LBN: Pinedale Dental
Pinedale Dental is an health care organization with primary practice located at 33 Fremont Lake Rd , Pinedale WY 82941-5213. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pinedale Dental can be contacted via phone (307) 367-3700, or through Petersen, Alison via phone (307) 367-3700.

Contact Information

Primary practice address
33 Fremont Lake Rd Pinedale WY 82941-5213
Phone: (307) 367-3700
Fax: (307) 312-2848
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Alison
Phone: (307) 367-3700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1033870779
LBN Legal business name Pinedale Dental
DBA Doing business as
Authorized official Petersen, Alison
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2022
Last updated Jan 5th, 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 1033870779 NPPES
Wyoming MEDICAID 207753100
Wyoming MEDICAID 113694100

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