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Smiles 4 Kids Jackson Llc
Pediatric Dentist in Jackson, Wyoming
NPI 1184999542

Smiles 4 Kids Jackson Llc is a Pediatric Dentist based in Iona, WY and is specialized in Pediatric Dentistry. Smiles 4 Kids Jackson Llc practices in Jackson, WY. The NPI Number for Smiles 4 Kids Jackson Llc is 1184999542 and holds a License No. 1361 (Wyoming).

The current practice location address for Smiles 4 Kids Jackson Llc is 1315 S Hwy 89, Jackson, WY and can be reached out via phone at 208-716-9724.

Location: 1315 S Hwy 89, Jackson, WY, 83427-0191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184999542
Provider Name
Smiles 4 Kids Jackson Llc
Credential
Provider Entity Type
Organization
Address
1315 S Hwy 89, Jackson, WY, 83427-0191
Phone Number
208-716-9724
Fax Number
Provider Enumeration Date
03/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124183207 05 WY
institution
Provider Business Practice Location Address Details
Address
1315 S Hwy 89
City
Jackson
State
Wyoming
Zip
83001-8514
Phone Number
208-716-9724
Fax Number
person
Provider Business Mailing Address Details
Address
1315 S Hwy 89
City
Jackson
State
Wyoming
Zip
83001-8514
Phone Number
208-716-9724
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
1361 (Wyoming)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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