Whiskey Mountain Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WHISKEY MOUNTAIN DENTAL

Practice address

108 North 1St Street
Dubois, WY 82513

Phone

(307) 455-2029

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Marie Day

Title

Office Manager Dental Assistant

Phone

(307) 455-2229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1710004569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825130783",
            "telephone_number": "307-455-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTH 1ST STREET",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "82513",
            "telephone_number": "307-455-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISKEY MOUNTAIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER DENTAL ASSISTANT",
        "authorized_official_telephone_number": "307-455-2229"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Home Health of Wyoming, LLC
• Maureen B Roe, C.M.T.
• Lisa S. Rose, FNP-C
• Trisha Rose, MSN RN FNP-BC
• Katrina Schueneman, M.S., CCC-SLP
• Penelope Wilke, R.N.
• William Lemke Physical Therapy P.C.
• Wind River Health Systems
• Wind River Health Systems, Inc.
• Margaret A Zeiss, PT

• General Practice Dentistry in Dubois, WY
• Providers in Dubois, 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 28, 2007; 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.