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Contact Information

RJ SMILES, LLC
610 WEST BROADWAY AVE
SUITE 106
JACKSON, WY83001
 Phone: 307-732-2273
 Fax: 307-732-1660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RJ SMILES, LLC

NPI Number 1063539963
LBN Legal business name RJ SMILES, LLC
Authorized official PAULA RIDGEWAY - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 10/23/2025 - About 7 months ago
Identifiers
WY Medicaid 119801700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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