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Jackson Family Dentistry
General Practice Dentistry in Jackson, Wyoming
NPI 1457485732

Jackson Family Dentistry is a General Practice Dentistry based in Jackson, WY and is specialized in General Practice. Jackson Family Dentistry practices in Jackson, WY. The NPI Number for Jackson Family Dentistry is 1457485732 and holds a License No. 756 (Wyoming).

The current practice location address for Jackson Family Dentistry is 1115 Mapleway, Jackson, WY and can be reached out via phone at 307-733-7044 and via fax at 307-734-1409.

Location: 1115 Mapleway, Jackson, WY, 83002-9248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457485732
Provider Name
Jackson Family Dentistry
Credential
Provider Entity Type
Organization
Address
1115 Mapleway, Jackson, WY, 83002-9248
Phone Number
307-733-7044
Fax Number
307-734-1409
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112319000 05 WY
institution
Provider Business Practice Location Address Details
Address
1115 Mapleway
City
Jackson
State
Wyoming
Zip
83001
Phone Number
307-733-7044
Fax Number
307-734-1409
person
Provider Business Mailing Address Details
Address
1115 Mapleway
City
Jackson
State
Wyoming
Zip
83001
Phone Number
307-733-7044
Fax Number
307-734-1409
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
756 (Wyoming)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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