Organization · Type 2 NPI
Gillette Pediatric Dentistry LLC
Pediatric Dentistry · Sheridan, WY
NPI number
1013289966
Active
Practice location
433 Shadow Ridge Blvd
Sheridan, WY 82801-9350
Mailing address
530 Running W Drive, Suite 100
Gillette, WY 82718-2003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 1271 (WY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Sheridan
About NPI 1013289966
Gillette Pediatric Dentistry LLC's National Provider Identifier is 1013289966, issued on Feb 7, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sheridan, WY. The record was last updated on Jan 6, 2017.