Southern Wyoming Periodontics LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

SOUTHERN WYOMING PERIODONTICS LLC

Practice address

7010 Yellowtail Rd Ste 200
Cheyenne, WY 82009-6113

Phone

(307) 423-0325

Fax

(307) 241-5357

NPI assigned

Dec 4, 2025

Organization subpart

Yes

Parent organization

NORTHERN COLORADO PERIODONTICSAs reported in NPPES

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

Authorized official

Name

Dr. Jessica Allen, DMD, MSDNPI 1164719290

Title

Owner Doctor

Phone

(307) 423-0325

Specialties & licenses 1

Addresses

Other names 1

• Northern Colorado Periodontics Doing business as

Part of

Northern Colorado Periodontics

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Allen, DMD

  • Periodontics
  • Fort Collins, CO
  • NPI 1164719290
  NPD Authorized official

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1881557072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 YELLOWTAIL RD STE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096113",
            "telephone_number": "307-423-0325",
            "fax_number": "307-241-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 YELLOWTAIL RD STE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096113",
            "telephone_number": "307-423-0325",
            "fax_number": "307-241-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WYOMING PERIODONTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN COLORADO PERIODONTICS",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "307-423-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Colorado Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delia Marie Sosa, PSYD
• Stephanie Michelle Soto, CRNP
• Southeast Wyoming Ear Nose & Throat Clinic PC
• Southeast Wyoming Healthwatch LLC
• Southeast Wyoming Radiation Oncology, P.C.
• Speak Life LLC
• Specialty Counseling
• Specialty Counseling & Consulting
• Jolene Speicher
• Beverly Ann Spencer, PA-C

• Periodontics in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Periodontics in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.