Prairie Sky Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1014 Issued in WY

Legal business name

PRAIRIE SKY DENTAL

Practice address

207 Richards Ave
Gillette, WY 82716-3630

Phone

(307) 685-1111

NPI assigned

Nov 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Carol L Anderson, DDSNPI 1538255385

Title

Owner/Dentist

Phone

(307) 685-1111

Specialties & licenses 1

Addresses

Other names 1

• Carol L. Hungerford, DDS Former legal business name

Locations

Practitioners 2

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

• Carol Lynn Anderson, DDS

  • General Practice Dentistry
  • Clarkfield, MN
  • NPI 1538255385
  NPD (past) Authorized official
• Aaron Erickson, DDS

  • Dentist
  • Gillette, WY
  • NPI 1982003455
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1922437847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 RICHARDS AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163630",
            "telephone_number": "307-685-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 RICHARDS AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163630",
            "telephone_number": "307-685-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE SKY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "307-685-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol L. Hungerford, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Powder River Counseling and Wellness
• Powder River Dental Associates, LLC
• Powder River Orthopedics & Spine PC
• Powder River Physical Medicine & Rehabilitation, LLC
• Powder River Surgery Center
• Premise Health of Wyoming Medical PC
• Preuit & Daigle Professional Counseling P.C.
• Nancy Preuit, MA,LPC,NCC,DC
• Cynthia Ellen Prince, MSN, RN, WCC
• Aaron Charles Proefrock, PT, DPT

• General Practice Dentistry in Gillette, WY
• Providers in Gillette, 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 Nov 1, 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.