Dental Arts PC
Organization Active NPI Dental Clinic/Center · Laramie, WY
NPI 1801337902 · NPPES record last updated Mar 9, 2017
Key facts
- NPI
- 1801337902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 921 (WY)
- Legal business name
- DENTAL ARTS PC
- Practice address
- 3421 E Garfield St
Laramie, WY 82070-5163 - Phone
- (307) 745-8513
- Fax
- (307) 745-0263
- NPI assigned
- Mar 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Bradley K Walgren, DDS
- Title
- Dentist/Owner
- Phone
- (307) 745-8513
Practitioners 1
-
Bradley K Walgren, DDS
National Provider Directory
Locations
3421 E Garfield St
Laramie, WY 82070
Phone (307) 745-8513
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 921 | WY | Yes |
Addresses
Primary practice location
3421 E Garfield St
Laramie, WY 82070-5163
Mailing address
3421 E Garfield St
Laramie, WY 82070-5163
Phone (307) 745-8513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112311400 | Medicaid | WY |
Other names
- Walgren Dental Arts PC
Other providers in Laramie, WY
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- Lihan Deng
- Charles W Denison
- Suzanna Denison
- Kimberly Denningmann
- Hollie Descheneaux
- Thomas James Desimone
- Gabrielle Despain
- Kennedy Despain
- Donna E Deutsch
All providers in Laramie, WY · Dental Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.