307 Dental Studio LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

307 DENTAL STUDIO LLC

Practice address

2100 Pioneer Ave
Cheyenne, WY 82001-3608

Phone

(702) 480-9009

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandon P Rinker, DDSNPI 1861061137

Title

President, Ceo

Phone

(702) 480-9009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Powell Rinker, DDS

  • Dentist
  • Presque Isle, ME
  • NPI 1861061137
  Authorized official Same address or phone

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1124708896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CRIBBON AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011076",
            "telephone_number": "702-480-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013608",
            "telephone_number": "702-480-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "307 DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "RINKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "702-480-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.