DENTAL CARE OF JACKSON HOLE, LLC (NPI# 1417074261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417074261 |
| Entity Type | Organization |
| Organization Name | DENTAL CARE OF JACKSON HOLE, LLC |
| Other Organization Name | DENTAL CARE OF ALPINE |
| Practice Address |
363 Deer Lane Alpine WY 83128 |
| Mailing Address |
Po Box 3469 Alpine WY 83128-0469 |
| Practice Telephone | 3076542273 |
| Mailing Telephone | 3076542273 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | ERIN RATHBAND-SMITH (OFFICE MANAGER) |
| Authorized Official Telephone | 3076542273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Alpine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063539963 | Dental Care of Jackson Hole, LLC | Dentist | 610 West Broadway, Centennial Building, Jackson, WY 83002 | 2007-03-23 |
| Street Address |
363 DEER LANE |
| City | ALPINE |
| State | WY |
| Zip Code | 83128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528525441 | Alpine Dental Care, LLC | Dentist | 363 Deer Lane, Alpine, WY 83128 | 2019-02-27 |
| 1376099044 | Alpine Family Dental Care P.C. | Dentist | 363 Deer Lane, Alpine, WY 83128 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720462104 | Alpine Ems Inc | Ambulance | 220 Highway 89, Alpine, WY 83128 | 2015-07-15 |
| 1841678935 | Our Valley Pharmacy | Pharmacy | 168 Us Highway 89, Suite D, Alpine, WY 83128 | 2015-05-11 |
| 1942493630 | Hadden F Goodman | Physician Assistant | 23 Elkrun Hwy 89, Alpine, WY 83128 | 2007-08-25 |
| 1447339601 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 86 Chalet Drive, Unit 1, Alpine, WY 83128 | 2006-11-06 |
| 1821033697 | Jessica D Taylor | Specialist/Technologist | 60 Main Street, Alpine, WY 83128-0226 | 2006-06-17 |
| 1245462522 | Alpine Fire Brigade Inc | Ambulance | 220 Main Street, Alpine, WY 83128-3030 | 2009-08-20 |
| 1518030808 | Ted R. Loyd | Specialist/Technologist, Other | 502 Buffalo Dr., Alpine, WY 83128-3109 | 2006-11-16 |
| 1275819310 | Maria Simental | Pharmacist | 168 Us Hwy 89, Suite D, Alpine, WY 83128-3902 | 2011-11-02 |
| 1336478254 | Julie Davis | Counselor | 46 Iron Horse Dr, Alpine, WY 83128-8101 | 2009-12-24 |
| 1801341771 | Kaya Loree Tuchscherer | Physical Therapist | 46 Iron Horse St, Alpine, WY 83128-9101 | 2016-08-22 |
| Find all providers in zip 83128 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205115193 | Alpine Dental Care | Dentist | 70 W Canyon Crest Rd, Alpine, UT 84004-1681 | 2011-08-09 |
| 1588781124 | Grant Turner Stucki | Dentist | 20 W Main Street Ct, Alpine, UT 84004-1889 | 2007-03-26 |
| 1205902970 | Rodolfo Orozco | Dentist | 2065 Arnold Way Ste 105, Alpine, CA 91901-3850 | 2006-11-27 |
| 1679648869 | William Jay Fielder | Dentist | 115 North Second Street, Alpine, TX 79830 | 2006-11-22 |
| 1992783070 | Iris V. Korus | Dentist | 2007 W. Hamlin Ave., Alpine, TX 79830 | 2006-01-09 |
| 1144204934 | Robert D Krause | Dentist | 1620 Alpine Blvd, Suite 121, Alpine, CA 91901-1102 | 2005-12-05 |
| 1043643802 | Rodolfo Orozco Dds, Apc | Dentist | 2065 Arnold Way Ste 105, Alpine, CA 91901-3850 | 2013-08-15 |
| 1477734614 | Samuel David Dove | Dentist | 1620 Alpine Blvd, Suite 121, Alpine, CA 91901-1102 | 2007-11-15 |
| 1184742850 | Aaron A Jensen | Dentist | 20 W Main Street Ct, Alpine, UT 84004-1889 | 2007-03-27 |
| 1780756346 | Rolando Guillermo Drachenberg | Dentist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2006-11-15 |
| Find all providers in ALPINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.