NPI 1124521125

Smile Doctors of Wyoming, P.C.

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Casper, WY

Practice location

Address: 5040 E 2nd St STE 2, Casper, WY 82609-4468
Phone: (307) 224-1050
Mailing address: 4360 Boardwalk Dr STE 200, Fort Collins, CO 80525-5940

Authorised official

Name: Cory F Coombs
Title: Sole Shareholder
Phone: (970) 226-5505

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 1297 (WY)

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Registry record

NPI: 1124521125
Entity type: Organization
NPI issued: 15 Mar 2018
Record last updated: 7 May 2018

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.