Organization Active NPI

Oral & Maxillofacial Surgeons of Wyoming

  • Oral and Maxillofacial Surgery (Dentist)
  • Rock Springs, WY
National Provider Identifier
1760856710
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL & MAXILLOFACIAL SURGEONS OF WYOMING
Practice address
2405 Cascade Dr
Rock Springs, WY 82901-5580
Phone
(307) 389-2999
NPI assigned
Nov 13, 2015
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Jason Candler, DMD
Title
Partner
Phone
(307) 389-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

2405 Cascade Dr
Rock Springs, WY 82901-5580

Mailing address

2297 N Hill Field Rd # A105
Layton, UT 84041-6920
Phone (801) 779-0506

National Provider Directory

National Provider Directory

Locations

2297 N Hill Field Rd
#A105
Layton, UT 84041
Phone (801) 779-0506

2405 Cascade Dr
Rock Springs, WY 82901
Phone (307) 362-8842

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1760856710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 N HILL FIELD RD # A105",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416920",
            "telephone_number": "801-779-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 CASCADE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015580",
            "telephone_number": "307-389-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGEONS OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "CANDLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "307-389-2999",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.