Oak Haven Dental
Organization Active NPI General Practice Dentistry · Riverton, WY
NPI 1477094852 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1477094852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1435 (WY)
- Legal business name
- OAK HAVEN DENTAL
- Practice address
- 203 E Main St
Suite 205
Riverton, WY 82501-4350 - Phone
- (307) 857-2020
- Fax
- (307) 857-2727
- NPI assigned
- Mar 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffery P Hammond, DDS
- Title
- Dentist/Owner
- Phone
- (307) 857-2020
Corporate family (same tax ID) 1
Practitioners 1
-
Christopher J Moss, D.D.S.
National Provider Directory
- Tax ID family
- Oak Haven Dental
Locations
8125 State Highway 789
Lander, WY 82520
Phone (307) 332-3181
203 E Main St
Ste 205
Riverton, WY 82501
Phone (307) 857-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 1435 | WY | Yes |
Addresses
Primary practice location
203 E Main St
Suite 205
Riverton, WY 82501-4350
Mailing address
203 E Main St
Suite 205
Riverton, WY 82501-4350
Phone (307) 857-2020
Other providers in Riverton, WY
- Laurie Lynn Nicol
- Robert J Niezwaag Jr.
- North Big Horn Hospital District
- Beverly Joan North
- Andrea Notopoulos
- Daniel James Oldman
- Michaela Ruth Oldman
- Zachary Olivarez
- Brock L Olson
- Jessica Ortiz
All providers in Riverton, WY · General Practice Dentistry in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.