Kemmerer Dental Inc
Organization Active NPI General Practice Dentistry · Diamondville, WY
NPI 1902946932 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1902946932
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 799 (WY)
- Legal business name
- KEMMERER DENTAL INC
- Practice address
- 100 Canyon Road
Diamondville, WY 83116-0314 - Phone
- (307) 877-6951
- Fax
- (307) 877-4149
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Karen A Cheek, DDS
- Title
- Direct Owner
- Phone
- (307) 877-6951
Practitioners 2
-
Karen Alane Cheek, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 799 | WY | Yes |
Addresses
Primary practice location
100 Canyon Road
Diamondville, WY 83116-0314
Mailing address
PO Box 314
Diamondville, WY 83116-0314
Phone (307) 877-6951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112357200 | Medicaid | WY |
Other names
- KEMMERER DENTAL ASSOCIATES
Other providers in Diamondville, WY
All providers in Diamondville, WY · General Practice Dentistry in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. 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.