OrganizationActive
Wyoming Cosmetic and Family Dental
NPI 1003069865 · Dental Clinic/Center · Cheyenne, WY
Provider details
- NPI number
- 1003069865
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jason Whiting, Dentist
- License
- 1199 (WY)
Practice location
4620 Grandview Ave
Cheyenne, WY 82009-4963
Phone: (307) 635-2419
Fax: (307) 772-3443
Mailing address
4620 Grandview Ave
Cheyenne, WY 82009-4963
Registry dates
- Enumerated
- 2008-10-24
- Last updated
- 2008-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.