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Dane St. John, MD
Oral and Maxillofacial Surgery (Dentist) in Cody, Wyoming
NPI 1689883589

Dane St. John is a Oral and Maxillofacial Surgery (Dentist) based in Cody, WY and is specialized in Oral and Maxillofacial Surgery. Dane St. John practices in Cody, WY and has the professional credentials of MD. The NPI Number for Dane St. John is 1689883589 and holds a License No. 27461 (Wyoming).

The current practice location address for Dane St. John is 707 Sheridan Ave, Cody, WY and can be reached out via phone at 307-578-2500 and via fax at 307-578-2492.

Location: 707 Sheridan Ave, Cody, WY, 82414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689883589
Provider Name
Dane St. John
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
707 Sheridan Ave, Cody, WY, 82414
Phone Number
307-578-2500
Fax Number
307-578-2492
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 Sheridan Ave
City
Cody
State
Wyoming
Zip
82414
Phone Number
307-578-2500
Fax Number
307-578-2492
person
Provider Business Mailing Address Details
Address
707 Sheridan Ave
City
Cody
State
Wyoming
Zip
82414
Phone Number
307-578-2500
Fax Number
307-578-2492
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
27461 (Alabama)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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