NPI 1295130631

Bighorn Orthodontics LLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Sheridan, WY

Practice location

Address: 642 Val Vista St Suite B, Sheridan, WY 82801-3659
Phone: (307) 672-6917

Authorised official

Name: Micah G. Mortensen
Title: Owner
Phone: (801) 831-2662

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 1344 (WY)

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Registry record

NPI: 1295130631
Entity type: Organization
NPI issued: 28 Oct 2014
Record last updated: 28 Oct 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.