WYOMING COSMETIC AND FAMILY DENTAL – NPI #1003069865
Clinic/Center

WYOMING COSMETIC AND FAMILY DENTAL is an AHC clinic located in CHEYENNE, WY. NPPES has assigned the NPI number 1003069865 to WYOMING COSMETIC AND FAMILY DENTAL on October 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WYOMING COSMETIC AND FAMILY DENTAL below.

NPI Profile for
WYOMING COSMETIC AND FAMILY DENTAL

NPI Number
1003069865
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WYOMING COSMETIC AND FAMILY DENTAL
Primary location
4620 GRANDVIEW AVE
CHEYENNE, WY 82009-4963
Phone: (307) 635-2419 Fax: (307) 772-3443
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JASON WHITING
DENTIST
Phone: (307) 635-2419
Updated
Identifiers

Identifiers for WYOMING COSMETIC AND FAMILY DENTAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERINDIVIDUAL NPIWY1265421077
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
WY 1199

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.