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Contact Information

JEFFRIES DENTAL, P.C.
3313 PAINTBRUSH LANE
WORLAND, WY82401
 Phone: 307-347-3994
 Fax: 307-347-3697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JEFFRIES DENTAL PC · (Female)

NPI Number 1316147952
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2007
Last updated 09/11/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 1005
  • WY License # 1041
  • WY Medicaid 113370500
  • WY Medicaid 113827800
  • WY Medicaid 113828600
  • WY Medicaid 113829400
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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