Jennifer Doser DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

1255 Issued in WY

Legal business name

JENNIFER DOSER DMD PC

Doing business as

Grand Avenue Dental Center

Practice address

303 S 8TH St
Laramie, WY 82070-3914

Phone

(307) 742-0722

Fax

(307) 742-0727

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Rae Doser, DMDNPI 1396051900

Title

President

Phone

(307) 742-0722

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grand Avenue Dental Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rae Doser, DMD

  • Dentist
  • Laramie, WY
  • NPI 1396051900
  NPD Authorized official

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1073973780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 8TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703914",
            "telephone_number": "307-742-0722",
            "fax_number": "307-742-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 8TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703914",
            "telephone_number": "307-742-0722",
            "fax_number": "307-742-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DOSER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "DOSER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-742-0722",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WY",
            "license": "1255",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129817800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Avenue Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Leigh Jauregui
• Cintia Javalera
• Mollie Jay, PHARMD
• Lawrence A Jenkins, MD
• Jenni Vazqueztell Counseling LLC
• Luke Francis Cortez Jensen
• Megan Ann Jensen, ATC, LAT
• Meghan Jensen
• Tammy Jensen, PHARMD
• Sylvia Jernigan

• Dentist in Laramie, WY
• Providers in Laramie, WY by specialty
• Dentist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.