Dental Care of Jackson Hole, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL CARE OF JACKSON HOLE, LLC

Doing business as

Dental Care of Alpine

Practice address

363 Deer Lane
Alpine, WY 83128

Phone

(307) 654-2273

NPI assigned

Mar 26, 2007

Last updated

Apr 29, 2010By 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

Erin Rathband-Smith

Title

Office Manager

Phone

(307) 654-2273

Specialties & licenses 1

Addresses

Other names 1

• Dental Care of Alpine Doing business as

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1417074261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3469",
            "city": "ALPINE",
            "state": "WY",
            "postal_code": "831280469",
            "telephone_number": "307-654-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 DEER LANE",
            "city": "ALPINE",
            "state": "WY",
            "postal_code": "83128",
            "telephone_number": "307-654-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF JACKSON HOLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "RATHBAND-SMITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-654-2273"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Alpine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alpine Fire Brigade Inc (Alpine Fire Department Inc)
• Sean Bailey, DO
• Broulim Supermarkets, LLC (Broulim's Pharmacy #14 - Alpine)
• Amanda L Cuevas, RN
• Julie Davis
• Melissa Kathleen Franklin
• Paul Gessford, MFT MAC
• Hadden F Goodman, PA-C
• Lacey Erickson Haas
• Morgan Kinnes, DPT

• General Practice Dentistry in Alpine, WY
• Providers in Alpine, 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 Apr 29, 2010; 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.