CASPER MOUNTAIN DENTAL (NPI# 1922470293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922470293 |
| Entity Type | Organization |
| Organization Name | CASPER MOUNTAIN DENTAL |
| Other Organization Name | GLENROCK FAMILY DENTAL |
| Practice Address |
925 W Birch Street Glenrock WY 82637 |
| Mailing Address |
Po Box 2320 Glenrock WY 82637-2320 |
| Practice Telephone | 3074368770 |
| Practice Fax Number | 3074368771 |
| Mailing Telephone | 3074368770 |
| Mailing Fax Number | 3074368771 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | AARON D LARSEN (OWNER) |
| Authorized Official Telephone | 3074368770 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1278 | WY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 131751200 | 05 |
| Other Name | Type Code |
|---|---|
| Glenrock Family Dental | Doing Business As Name - Organization |
| Street Address |
925 W BIRCH STREET |
| City | GLENROCK |
| State | WY |
| Zip Code | 82637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437294972 | Glenrock Hospital District | Clinical Medical Laboratory | 925 W Birch Street, Glenrock, WY 82637-0786 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477044261 | Audrey Boespflug | Social Worker | 925 W. Birch St, Glenrock, WY 82637 | 2018-05-29 |
| 1568971836 | Breanna Jewel St. Gelais | Doula | 167 Fort Laramie Street, Glenrock, WY 82637 | 2017-09-29 |
| 1033407531 | Aaron David Larsen | Dentist | 925 Wbirch, Glenrock, WY 82637 | 2011-07-18 |
| 1043529662 | A Step Forward L.L.C. | Counselor | 506 West Birch, Suite 14, Glenrock, WY 82637 | 2010-09-30 |
| 1609023878 | Quality of Life, P.C. | Nurse Practitioner | 506 Birch St., Glenrock, WY 82637 | 2008-08-19 |
| 1730303587 | Sarah Virginia Stalker | Pharmacist | 925 W Birch, Glenrock, WY 82637 | 2007-04-12 |
| 1851481386 | Deborah S Heyer | General Practice | 525 E Birch, Glenrock, WY 82637 | 2006-10-13 |
| 1679582357 | Memorial Hospital of Converse County | Clinic/Center | 525 East Birch Street, Glenrock, WY 82637 | 2006-08-05 |
| 1033528666 | Sara E Malsom | Physician Assistant | 925 W Birch, Glenrock, WY 82637 | 2014-08-07 |
| 1508992603 | Kathleen Meehan Murphy | Dentist | 925 W Birch St, Glenrock, WY 82637 | 2007-02-26 |
| Find all providers in zip 82637 | ||||
| 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 |
|---|---|---|---|---|
| 1033407531 | Aaron David Larsen | Dentist | 925 Wbirch, Glenrock, WY 82637 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102067 | Tatiana K Steele | Dentist | 1716 Warren Ave, Cheyenne, WY 82001-4538 | 2019-12-31 |
| 1619433174 | Albany County Family Dentistry | Dentist | 1156 N 22nd St Ste A, Laramie, WY 82072-5403 | 2019-02-20 |
| 1710454012 | Michelle L Meehan, Dds | Dentist | 1465 Burton St Ste A, Sheridan, WY 82801-2746 | 2018-10-25 |
| 1356817118 | Greybull Dental | Dentist | 337 Greybull Ave, Greybull, WY 82426 | 2018-10-19 |
| 1609362979 | Lucas Benjamin Kaufman | Dentist | 111 S Big Horn Ave, Moorcroft, WY 82721 | 2018-07-10 |
| 1740774454 | Jesse Hugh Massie | Dentist | 7010 Yellowtail Rd Ste 100, Cheyenne, WY 82009-6113 | 2018-06-15 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1912438524 | Michael J. Kunzler Dmd, Inc | Dentist | 2822 Highway 414, Lyman, WY 82937-9140 | 2017-03-24 |
| 1578916417 | Jessica Wells | Dentist | 1933 E A St, Casper, WY 82601-2224 | 2016-07-15 |
| 1902257439 | Jeffery Paul Hammond | Dentist | 8125 Highway 789, Lander, WY 82520-2926 | 2016-06-27 |
| Find all providers with the same taxonomy | ||||
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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.