NPI 1740776202

Teton Oral and Maxillofacial Surgery

Organisation Oral & Maxillofacial Surgery (D.M.D.) Jackson, WY

Practice location

Address: 1160 Alpine Ln STE 1d, Jackson, WY 83001
Phone: (307) 739-8611
Fax: (307) 739-8613
Mailing address: PO Box 9339, Jackson, WY 83002-9339

Authorised official

Name: Bridget Anne Mullen
Title: Office Manager
Phone: (307) 690-1513

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Wyoming →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Other Dentist providers in Wyoming →

Registry record

NPI: 1740776202
Entity type: Organization
NPI issued: 9 Jul 2018
Record last updated: 26 Jul 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.