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Contact Information

ARROWHEAD DENTAL -AD, LLC
50 ARROWHEAD DR
EVANSTON, WY82930-9243
 Phone: 307-789-5210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ARROWHEAD DENTAL -AD, LLC

NPI Number 1508532482
LBN Legal business name ARROWHEAD DENTAL -AD, LLC
Authorized official JONATHAN MORGAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2021
Last updated 08/05/2025 - About 10 months ago
Identifiers
WY Medicaid 119553100
WY Medicaid 125569000
WY Medicaid 140937900
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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