NPI 1891871471

Michael G Shane DDS PC

Organisation General Practice Dentistry Lander, WY

Practice location

Address: 350 Garfield St, Lander, WY 82520-3124
Phone: (307) 332-3181
Fax: (307) 332-3484
Mailing address: 350 Garfield, Lander, WY 82520-3124

Authorised official

Name: Michael George Shane
Title: President
Phone: (307) 332-3181

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 926 (WY)

Other Dentist providers in Wyoming →

Registry record

NPI: 1891871471
Entity type: Organization
NPI issued: 27 Oct 2006
Record last updated: 18 Jul 2007

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.