Roy E. Paulson Jr PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ROY E. PAULSON JR PC

Doing business as

Casper Childrens Dental Clinic.

Practice address

2805 Cedar Ave Ste a
Gillette, WY 82718-2000

Phone

(307) 686-7635

Fax

(307) 237-4424

NPI assigned

May 22, 2007

Last updated

Mar 17, 2015By 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

Dr. Roy Edward Paulson Jr., D.D.S

Title

Pediatric Dentist

Phone

(307) 686-7635

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casper Childrens Dental Clinic. Doing business as

Tax ID family

Casper Children's Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roy E. Paulson Jr PC

  dba Casper Children's Dental Clinic

  • Pediatric Dentistry
  • Casper, WY
  • NPI 1750584173
  NPD tax ID

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1821207036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CEDAR AVE STE A",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182000",
            "telephone_number": "307-686-7635",
            "fax_number": "307-237-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CEDAR AVE STE A",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182000",
            "telephone_number": "307-686-7635",
            "fax_number": "307-237-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY E. PAULSON JR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "307-686-7635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112331901",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casper Childrens Dental Clinic.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Jo Rosario
• Rose Mountain Midwifery LLC
• Tammy Lynn Rosier
• Jennifer Nicole Rossiter
• Laura L Roush
• Christina Marie Rozier, PHARM D, DNP-FNP
• Jeanne Louise Rugg, MS
• Amber Rupp
• Nancy Rusch, CRNA
• Laine C Russell, D.O.

• Pediatric Dentistry in Gillette, WY
• Providers in Gillette, WY by specialty
• Pediatric Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.