NPI 1013289966
Gillette Pediatric Dentistry LLC
Practice location
- Address
- 433 Shadow Ridge Blvd, Sheridan, WY 82801-9350
- Phone
- (307) 670-8118
- Mailing address
- 530 Running W Drive Suite 100, Gillette, WY 82718-2003
Authorised official
- Name
- David Glenn Bailey
- Title
- Pediatric Dentist
- Phone
- (307) 670-8118
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1013289966
- Entity type
- Organization
- NPI issued
- 7 Feb 2012
- Record last updated
- 6 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.