NPIMap

Organization Active NPI

Mountain Dental PC

  • Dental Clinic/Center
  • Lander, WY
National Provider Identifier
1366596033
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
975 Issued in WY
Legal business name
MOUNTAIN DENTAL PC
Practice address
345 Garfield St
Lander, WY 82520-3123
Phone
(307) 332-5230
Fax
(307) 332-5297
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Todd Robert Sutton, DDSNPI 1174587117
Title
Dentist
Phone
(307) 332-5230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 975 WY Primary

Addresses

Primary practice location

345 Garfield St
Lander, WY 82520-3123

Mailing address

345 Garfield St
Lander, WY 82520-3123
Phone (307) 332-5230

National Provider Directory

National Provider Directory

Locations

345 Garfield St
Lander, WY 82520
Phone (307) 332-5230

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1366596033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GARFIELD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203123",
            "telephone_number": "307-332-5230",
            "fax_number": "307-332-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 GARFIELD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203123",
            "telephone_number": "307-332-5230",
            "fax_number": "307-332-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-332-5230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.