Oak Haven Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAK HAVEN DENTAL

Practice address

8125 State Highway 789
Lander, WY 82520-2926

Phone

(307) 332-3181

Fax

(307) 332-3484

NPI assigned

Aug 15, 2018

Organization subpart

Yes

Parent organization

OAK HAVEN DENTAL LANDERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Charlotte R Jay

Title

Front Office

Phone

(307) 332-3181

Specialties & licenses 2

Addresses

Tax ID family

Oak Haven Dental2 organizations share this tax ID, including this one

Part of

Oak Haven Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oak Haven Dental

  • General Practice Dentistry
  • Riverton, WY
  • NPI 1477094852
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1033699533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 STATE HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202926",
            "telephone_number": "307-332-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 STATE HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202926",
            "telephone_number": "307-332-3181",
            "fax_number": "307-332-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HAVEN DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK HAVEN DENTAL LANDER",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "307-332-3181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Nielsen, DPT
• Richard Scott Norton, PH.D.
• Johnna Carlene Nunez, MA
• Nutrition Works LLC
• Sharon K O'Connor
• Baylee Carlene Olson, PA-C
• Tyler Michael Olson
• Regina Ommen
• Osback Pharmaceuticals Inc
• Neil Otto

• All providers in Lander, WY
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.