Cheyenne Oral & Maxillofacial Surgery Associates, L.L.C

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C

Practice address

6238 Yellowstone Rd
Cheyenne, WY 82009-3432

Phone

(307) 635-6940

Fax

(307) 635-2839

NPI assigned

Jul 24, 2007

Last updated

Jul 18, 2008By 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. Rex L. Dolan, D.D.SNPI 1346455003

Title

Owner

Phone

(307) 635-6940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Rex Lee Dolan, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cheyenne, WY
  • NPI 1346455003
  NPD (past) Authorized official
• Chad William Petersen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cheyenne, WY
  • NPI 1336582212
  NPD (past)
• Nathan Christopher Steele, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cheyenne, WY
  • NPI 1588816243
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1306046651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093432",
            "telephone_number": "307-635-6940",
            "fax_number": "307-635-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093432",
            "telephone_number": "307-635-6940",
            "fax_number": "307-635-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-635-6940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121900600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheyenne Periodontics, PC
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• Cheyenne Radiology Group
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• Oral and Maxillofacial Surgery Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.