James G. Livingston, DDS.,PC

Organization Active NPI Dental Clinic/Center · Afton, WY

NPI 1194980227 · NPPES record last updated Jul 29, 2008

Key facts

NPI
1194980227
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
JAMES G. LIVINGSTON, DDS.,PC
Practice address
800 Washington Street
Afton, WY 83110-1709
Phone
(307) 885-4337
NPI assigned
Jul 29, 2008
Organization subpart
No

Authorized official

Name
James Garry Livingston, DDS
Title
President
Phone
(307) 883-4337

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

800 Washington Street
Afton, WY 83110-1709

Mailing address

PO Box 1709
Afton, WY 83110-1709
Phone (307) 883-4337

Other identifiers

IdentifierTypeStateIssuer
805327400MedicaidID
112487100MedicaidWY

Other providers in Afton, WY

All providers in Afton, WY · Dental Clinic/Center in Wyoming

Sources for this page

Verify at the official NPI Registry.