National Provider Identifier Database

CHEYENNE ORAL MAXILLOFACIAL SURGERY ASSOCIATES LLC
Oral and Maxillofacial Surgery

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.


Contact Information

CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C
6238 YELLOWSTONE RD
CHEYENNE, WY82009-3432
Phone: 307-635-6940
Fax: 307-635-2839
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C

NPI Number 1306046651
Legal business name
LBN
CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C
Authorized official REX DOLAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/24/2007
Last updated 07/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WY Medicaid: 121900600

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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