Valley Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALLEY DENTAL

Practice address

185 N 4TH St
Lander, WY 82520-2817

Phone

(307) 332-2201

Fax

(307) 332-9110

NPI assigned

Apr 3, 2007

Last updated

Jul 17, 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. Robert D. Fowler, D.M.D

Title

Dentist

Phone

(307) 332-2201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1376664391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N 4TH ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202817",
            "telephone_number": "307-332-2201",
            "fax_number": "307-332-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N 4TH ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202817",
            "telephone_number": "307-332-2201",
            "fax_number": "307-332-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-332-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107064900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Tolman, P.T.
• Linda Tonsberg, PT
• Transit Care LLC
• Troy R. Jones, MD, P.C.
• Katelin Renee Tucker, PT, DPT, CERT MDT
• Marisha Lee Vanvleet, APRN-CNP, PMHNP-BC
• Laura Varner, OTR/L, CHT
• Vince C. Irene, DC., PLLC (Family Chiropractic Center)
• Katarzyna Bernat Voorhies, LMT, RBP, NCTMB
• Karla Lee Wagner, M.D.

• General Practice Dentistry in Lander, WY
• Providers in Lander, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.