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Contact Information

CRAIG FAMILY DENTAL, LLC
200 E BROADWAY AVE
PO BOX 1190
JACKSON, WY83001
 Phone: 307-733-2555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CRAIG FAMILY DENTAL, LLC

NPI # 1265312417
LBN Legal business name CRAIG FAMILY DENTAL, LLC
Authorized official ANTHONY CRAIG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2025
Last updated 09/08/2025 - About 9 months ago
Identifiers n/a
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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