Organization · Type 2 NPI

Southern Wyoming Periodontics LLC

Periodontics · Cheyenne, WY

NPI number 1881557072 Active

Practice location

7010 Yellowtail Rd Ste 200
Cheyenne, WY 82009-6113

Fax (307) 241-5357

Specialties and licenses

Taxonomy	Code	License
Periodontics Primary	1223P0300X	None listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Other periodontics providers in Cheyenne

Cheyenne Periodontics, PCPeriodontics Cheyenne, WY NPI 1326127234

See all in Cheyenne →

NPI record

NPI: 1881557072
Entity type: Organization (Type 2)
Issued: Dec 4, 2025
Last updated: Dec 4, 2025
Status: Active
Subpart: Yes of Northern Colorado Periodontics

Other names

Northern Colorado Periodontics · doing business as

Authorized official

Dr. Jessica Allen, DMD, MSD
Owner Doctor
(307) 423-0325

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881557072

Southern Wyoming Periodontics LLC's National Provider Identifier is 1881557072, issued on Dec 4, 2025. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Cheyenne, WY. The record was last updated on Dec 4, 2025.