Paintbrush Dental, PC
Organization Active NPI Dental Clinic/Center · Thermopolis, WY
NPI 1982932265 · NPPES record last updated Nov 25, 2009
Key facts
- NPI
- 1982932265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 1222 (WY)
- Legal business name
- PAINTBRUSH DENTAL, PC
- Practice address
- 110 E Arapahoe St
Thermopolis, WY 82443 - Phone
- (307) 864-9411
- Fax
- (307) 864-2756
- NPI assigned
- Nov 25, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Leif A Polson
- Title
- Owner
- Phone
- (307) 864-9411
Practitioners 3
-
Mary Margaret Brown, D.D.S.
-
Guy C Drake, DDS
-
Leif Andrew Polson, D.D.S
National Provider Directory
Locations
110 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-9411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1222 | WY | Yes |
Addresses
Primary practice location
110 E Arapahoe St
Thermopolis, WY 82443
Mailing address
110 E Arapahoe St
PO Box 751
Thermopolis, WY 82440-0751
Phone (307) 864-9411
Other providers in Thermopolis, WY
- Cassandra Norskog
- Mary Jane Norskog
- North Big Horn Hospital District
- Northwest Wyoming Boces
- Gary D Olheiser
- Christopher H Paris
- Physical Therapy Clinic PC
- Leif Andrew Polson
- Roger Pomeroy
- Leila H Porath
All providers in Thermopolis, WY · Dental Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2009. 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.