NPI 1093589863
Designer Smiles LLC
Practice location
- Address
- 405 E 19th St, Cheyenne, WY 82001-4643
- Phone
- (307) 343-5676
- Mailing address
- 604 Meadowlark Ln, Riverton, WY 82501-2214
Authorised official
- Name
- Chad Michael Clark
- Title
- President
- Phone
- (307) 240-9966
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1093589863
- Entity type
- Organization
- NPI issued
- 13 Nov 2023
- Record last updated
- 1 Dec 2023
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.