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Contact Information

REBECCA E CLOETTA, DDS
1315 S HWY 89
SUITE 102
JACKSON, WY83002-1570
 Phone: 307-733-4122
 Fax: 307-733-4164
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for REBECCA E CLOETTA · (Female)

NPI # 1306190749
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/07/2012
Last updated 11/08/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 1009
  • WY Medicaid 122780700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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