Scott William Houfek, DDS

Individual provider Active NPI General Practice Dentistry · Big Piney, WY

NPI 1750414538 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1750414538
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
804 (WY)
Practice address
16 West 3Rd Street
Big Piney, WY 83113
Phone
(307) 276-3983
Fax
(307) 276-3093
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
804WYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 804 WY Yes

Addresses

Primary practice location

16 West 3Rd Street
Big Piney, WY 83113

Mailing address

16 West 3Rd Street
Box 488
Big Piney, WY 83113
Phone (307) 276-3983

Other providers in Big Piney, WY

All providers in Big Piney, WY · General Practice Dentistry in Wyoming

Sources for this page

Verify at the official NPI Registry.