Star Valley Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STAR VALLEY DENTAL LLC

Practice address

725 No Washington Street
Afton, WY 83110

Phone

(307) 885-4355

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By 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

Holly J Weston, DDS

Title

Secretary

Phone

(307) 885-4355

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mark C. Weston, DDS

  • Dentist
  • Garden City, UT
  • NPI 1114016250

  General Practice

  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598818361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831101390",
            "telephone_number": "307-885-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NO WASHINGTON STREET",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "83110",
            "telephone_number": "307-885-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR VALLEY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "307-885-4355",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co LLC (Shopko Pharmacy 526)
• Allen Boyd Simpson, MOTR/L
• Star Valley Chiropractic, P.C.
• Star Valley Chiropractic,P.C.
• Star Valley Dental 1 LLC
• Star Valley Drug Co (Valley Pharmacy)
• Star Valley Healthcare, Inc. (Symbii Home Health)
• Star Valley Healthcare, Inc. (Symbii Hospice)
• Star Valley Medical Supply LLC
• Star Valley Senior Center Inc

• General Practice Dentistry in Afton, WY
• Providers in Afton, 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 Aug 22, 2020; 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.