NPI 1285982025

Creekside Dental LLC

Organisation General Practice Dentistry Sheridan, WY

Practice location

Address: 642 Val Vista St Stuite #a, Sheridan, WY 82801-3659
Phone: (307) 674-9222
Fax: (307) 674-1765

Authorised official

Name: Joseph Rollin McColley
Title: Owner/Dentist
Phone: (307) 674-9222

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1285982025
Entity type: Organization
NPI issued: 28 Aug 2012
Record last updated: 31 Dec 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.