BEAR RIVER DENTAL (NPI# 1649575465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649575465 |
| Entity Type | Organization |
| Organization Name | BEAR RIVER DENTAL |
| Other Organization Name | NATHAN R. LESTER DMD PC |
| Practice Address |
50 Park Rd Evanston WY 82930-2613 |
| Practice Telephone | 3077895608 |
| Practice Fax Number | 3077894401 |
| Mailing Telephone | 3077895608 |
| Mailing Fax Number | 3077894401 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | NATHAN R LESTER (OWNER) |
| Authorized Official Telephone | 3077895608 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1250 | WY | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1257 | WY | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1202 | WY | Dental Providers |
| Y | 122300000X | Dentist | 1131 | WY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1558432120 | 05 | |
| WY | 1689795114 | 05 | |
| WY | 1023268299 | 05 | |
| WY | 1063492981 | 05 |
| Other Name | Type Code |
|---|---|
| Nathan R. Lester DMD PC | Doing Business As Name - Organization |
| Street Address |
50 PARK RD |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831681915 | Devin Charles Irene | Dentist | 50 Park Rd, Evanston, WY 82930-2613 | 2018-06-04 |
| 1942684436 | Luke L Owens | Dentist | 50 Park Rd, Evanston, WY 82930-2613 | 2015-07-14 |
| 1558432120 | Nathan Ren Lester | Dentist | 50 Park Rd, Evanston, WY 82930-2613 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669876983 | Meira R. Berman Dmd PC | Dentist | 1605 Benson Ave, Evanston, IL 60201-3717 | 2014-10-15 |
| 1578972303 | Andre Amarante | Dentist | 2424 Main St, Evanston, IL 60202 | 2014-08-06 |
| 1023263241 | Richard S Hopf D.d.s. P.C. | Dentist | 500 Davis Street, Suite 504, Evanston, IL 60201-4668 | 2008-12-02 |
| 1518117357 | Emily M Williams | Dentist | 1560 Sherman Ave Ste 610, Evanston, IL 60201-4806 | 2008-09-29 |
| 1417128059 | Dan J Nykaza Dds Ltd | Dentist | 2200 Central Street, Evanston, IL 60201 | 2008-03-21 |
| 1346410636 | Liliana Stevoff | Dentist | 724 Noyes St Apt F2, Evanston, IL 60201-2847 | 2008-03-03 |
| 1306014782 | Kathryn Delfs | Dentist | 500 Davis St Ste 106, Evanston, IL 60201-4600 | 2008-02-19 |
| 1659598704 | Dan Joseph Nykaza | Dentist | 2200 Central St, Evanston, IL 60201-1416 | 2007-04-19 |
| 1285762971 | Charles Anthony Mcbroom | Dentist | 1029 Howard St Ste 203, Evanston, IL 60202-3877 | 2007-03-02 |
| 1457405987 | Green Bay Trail Dentistry | Dentist | 2632 Green Bay Rd, Evanston, IL 60201 | 2007-01-22 |
| Find all providers in EVANSTON | ||||
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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.