Individual provider · Type 1 NPI

Michael J. Wine, DDS

Dentist · Jackson, WY

NPI number 1245353168 Active

Practice location

610 W Broadway Ave
Jackson, WY 83001-8213

Call (307) 732-2273 Map

Fax (307) 732-1660

Mailing address

6797 Shire Ridge Dr
Victor, ID 83455-5036

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1325 (WY)
Dentist 122300000XD 4424 (ID)

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 requiremen…

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About NPI 1245353168

Michael J. Wine, DDS's National Provider Identifier is 1245353168, issued on Apr 7, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jackson, WY. The record was last updated on Sep 1, 2016.