Wyodentalimplants.Com LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WYODENTALIMPLANTS.COM LLC

Practice address

1122 S Conwell St
Casper, WY 82601-3965

Phone

(307) 234-6054

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Youmans, DDS

Title

Owner

Phone

(307) 258-5975

Specialties & licenses 1

Addresses

Other names 1

• WYODENTALIMPLANTS Doing business as

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1497599450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S CONWELL ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S CONWELL ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013965",
            "telephone_number": "307-234-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYODENTALIMPLANTS.COM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "YOUMANS",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-258-5975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYODENTALIMPLANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.