Cody Dental Excellence

Organization Active NPI General Practice Dentistry · Cody, WY

NPI 1154696409 · NPPES record last updated Mar 20, 2012

Key facts

NPI
1154696409
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
1290 (WY)
Legal business name
CODY DENTAL EXCELLENCE
Practice address
726 Allen Ave
Cody, WY 82414-3443
Phone
(307) 587-3000
Fax
(307) 587-3012
NPI assigned
Mar 20, 2012
Organization subpart
No

Authorized official

Name
Dr. Devon Holeman, DMD
Title
Dentist
Phone
(307) 587-3000

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 1290 WY Yes

Addresses

Primary practice location

726 Allen Ave
Cody, WY 82414-3443

Mailing address

726 Allen Ave
Cody, WY 82414-3443
Phone (307) 587-3000

Other names

  • Wyoming Dental Excellence Other name

Other providers in Cody, WY

All providers in Cody, WY · General Practice Dentistry in Wyoming

Sources for this page

Verify at the official NPI Registry.