Dr Ajludd Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR AJLUDD DENTAL LLC

Doing business as

DRY CREEK DENTAL

Practice address

3708 E Pershing Blvd
Cheyenne, WY 82001-5946

Phone

(307) 634-9111

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Aaron John Luddington, DDS

Title

Owner

Phone

(307) 634-9111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DRY CREEK DENTAL Doing business as

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1902438641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 E PERSHING BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015946",
            "telephone_number": "307-634-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 E PERSHING BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015946",
            "telephone_number": "307-634-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AJLUDD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "LUDDINGTON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-634-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295883452",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326532441",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRY CREEK DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Anne Dowling, FNP-BC
• Robert M Downey, RRT
• Janice A Downing, LPN
• Devin Doxter
• Melissa Dozier, M.D.
• Dr Tamara Cottam
• Dr. Paulus LLC
• Allison Drake
• James Scott Draper, C.S.T., F.A
• Madeline Joy Draper

• Dental Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.