NPI 1023863768

Evanston Dental,llc

Organisation Dental Clinic/Center Evanston, WY

Practice location

Address: 1425 Highway 150 S, Evanston, WY 82930-5377
Phone: (307) 789-0500

Authorised official

Name: Micah Daniel Himmerich
Title: Owner/Member
Phone: (307) 789-0500

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1023863768
Entity type: Organization
NPI issued: 17 Apr 2024
Record last updated: 17 Apr 2024

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.