NPI 1033476239

Granite Springs Dentistry, LLC

Organisation General Practice Dentistry Cheyenne, WY

Practice location

Address: 2316 Dell Range Blvd, Cheyenne, WY 82009-5191
Phone: (720) 670-0798

Authorised official

Name: Merrill Bassett
Title: Owner
Phone: (720) 670-0798

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1270 (WY)

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Registry record

NPI: 1033476239
Entity type: Organization
NPI issued: 12 Apr 2012
Record last updated: 7 Apr 2014

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.