NPI 1033870779
Pinedale Dental
Practice location
- Address
- 33 Fremont Lake Rd, Pinedale, WY 82941-5213
- Phone
- (307) 367-3700
- Fax
- (307) 312-2848
- Mailing address
- PO Box 1190, Pinedale, WY 82941-1190
Authorised official
- Name
- Alison Petersen
- Title
- Receptionist
- Phone
- (307) 367-3700
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1033870779
- Entity type
- Organization
- NPI issued
- 5 Jan 2022
- Record last updated
- 5 Jan 2022
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.