Individual provider · Type 1 NPI

Dane St. John, MD

Oral and Maxillofacial Surgery (Dentist) · Cody, WY

NPI number 1689883589 Active

Practice location

707 Sheridan Ave
Cody, WY 82414

Fax (307) 578-2492

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X27461 (AL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9197A (WY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

74 other providers at this address

About NPI 1689883589

Dane St. John, MD's National Provider Identifier is 1689883589, issued on May 21, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cody, WY. The record was last updated on Apr 12, 2013.