NPI 1013143593

Benjamin J Harrell, DDS

Practitioner Dentist Cheyenne, WY

Practice location

Address: 121 W Carlson St, Cheyenne, WY 82009-4044
Phone: (307) 635-1197
Fax: (307) 635-3245

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 1173 (WY)

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Registry record

NPI: 1013143593
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2009
Record last updated: 10 Jun 2009

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.