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Nitan Bahnson
General Practice Dentistry in Gillette, Wyoming
NPI 1477947984

Nitan Bahnson is a General Practice Dentistry based in Aurora, WY and is specialized in General Practice. Nitan Bahnson practices in Gillette, WY. The NPI Number for Nitan Bahnson is 1477947984 and holds a License No. (Wyoming).

The current practice location address for Nitan Bahnson is 1211 S Douglas Hwy, Gillette, WY and can be reached out via phone at 307-682-6771.

Location: 1211 S Douglas Hwy, Gillette, WY, 80045-2570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477947984
Provider Name
Nitan Bahnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1211 S Douglas Hwy, Gillette, WY, 80045-2570
Phone Number
307-682-6771
Fax Number
Provider Enumeration Date
03/23/2015
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
1211 S Douglas Hwy
City
Gillette
State
Wyoming
Zip
82716-4949
Phone Number
307-682-6771
Fax Number
person
Provider Business Mailing Address Details
Address
1211 S Douglas Hwy
City
Gillette
State
Wyoming
Zip
82716-4949
Phone Number
307-682-6771
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1440 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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