Sheridan Wyo Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHERIDAN WYO DENTAL

Practice address

2 N Main St
Ste 405
Sheridan, WY 82801-6318

Phone

(307) 672-7439

NPI assigned

Mar 11, 2013

Last updated

Mar 11, 2013By 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

Mrs. Pat Quist

Title

Office Manager

Phone

(307) 672-2328

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hal Quist, DDS Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trenton Kyle Burrup, DDS

  • General Practice Dentistry
  • Sheridan, WY
  • NPI 1134469570
  NPD (past)
• Harold Quist Jr., DDS

  • General Practice Dentistry
  • Sheridan, WY
  • NPI 1104963768
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1902147275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST",
            "address_2": "STE 405",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016318",
            "telephone_number": "307-672-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST",
            "address_2": "STE 405",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016318",
            "telephone_number": "307-672-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN WYO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "QUIST",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-672-2328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106690100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hal Quist, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sheridan Surgical Center, LLC
• Sheridan Vamc
• Sheridan Vamc
• Sheridan Women's Health P.C.
• Sheridan Wyo Dental
• Geoffrey Sherman, PH.D.
• Sherwood Group, Inc (Sheridan Physical Therapy)
• Kent Andrew Sherwood, MS PT
• Kress Torney Sherwood, MS SLP
• John Wayne Shew, LPN

• General Practice Dentistry in Sheridan, WY
• Providers in Sheridan, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.