NPI 1083852149
Michael Stern, DMDPHD
Practice location
- Address
- 1160 Alpine Ln Suite 1d, Jackson, WY 83001
- Phone
- (307) 739-8611
- Fax
- (307) 739-8613
- Mailing address
- PO Box 9339, Jackson, WY 83002-9339
Registered specialties
Oral and Maxillofacial Surgery (Dentist)
Primary
Registry record
- NPI
- 1083852149
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jan 2009
- Record last updated
- 28 Jan 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.