TETON ORAL & MAXILLOFACIAL SURGERY – NPI #1164430971
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

TETON ORAL & MAXILLOFACIAL SURGERY is an oral & maxillofacial surgeon located in JACKSON, WY. NPPES has assigned the NPI number 1164430971 to TETON ORAL & MAXILLOFACIAL SURGERY on August 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 8 years ago on Jul 26, 2018. 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 TETON ORAL & MAXILLOFACIAL SURGERY below.

NPI Profile for
TETON ORAL & MAXILLOFACIAL SURGERY

NPI Number
1164430971
Enumeration Date

(about 20 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
TETON ORAL & MAXILLOFACIAL SURGERY
Primary location
1160 ALPINE LANE
#1D
JACKSON, WY 83002
Phone: (307) 739-8611 Fax: (307) 739-8613
Mailing address
PO BOX 9339
JACKSON, WY 83002-9339
Phone: (307) 739-8611 Fax: (307) 739-8613
Organization Subpart
No
Authorized Official
MICHAEL STERN
PRESIDENT
Phone: (307) 739-8611
Updated
Identifiers

Identifiers for TETON ORAL & MAXILLOFACIAL SURGERY

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
MEDICAIDWY119386400
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
204E00000X
- Oral & Maxillofacial Surgery (Primary)
1223S0112X
- Dentist / Oral and Maxillofacial Surgery

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.