NPI 1043694565

Heart Mountain Dental L.L.C.

Organisation Dental Clinic/Center Cody, WY

Practice location

Address: 1426 Stampede Ave, Cody, WY 82414-4226
Phone: (307) 587-6028

Authorised official

Name: Joshua George
Title: Manager
Phone: (307) 587-6028

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 1419 (WY)

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1043694565
Entity type: Organization
NPI issued: 14 Jul 2015
Record last updated: 14 Jul 2015

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.