Smile Doctors of Wyoming, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1297 Issued in WY

Legal business name

SMILE DOCTORS OF WYOMING, P.C.

Practice address

5040 E 2ND St Ste 2
Casper, WY 82609-4468

Phone

(307) 224-1050

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Cory F Coombs, DMD

Title

Sole Shareholder

Phone

(970) 226-5505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1124521125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 BOARDWALK DR STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255940",
            "telephone_number": "970-226-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 E 2ND ST STE 2",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094468",
            "telephone_number": "307-224-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 Laramie St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820012064",
            "country_code": "US",
            "telephone_number": "307-632-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820703914",
            "country_code": "US",
            "telephone_number": "307-745-8362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DOCTORS OF WYOMING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "970-226-5505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Marie Siscoe, MSN, FNP-C
• Heidi Lee Sivers-O'Connell, RN
• Michel W Skaf, M.D.
• Samantha Pearl Skogen, APRN
• Debra Jean Slaugh, PCSW
• Lexi Smiley
• Jackie Lynn Smith-Lapp, FNP-C
• Adam Paul Smith, CSW
• Audrya Smith, MOTR/L
• Cameron Smith, PT DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Casper, WY
• Providers in Casper, WY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.