OrganizationActive
Evanston Dental,llc
NPI 1023863768 · Dental Clinic/Center · Evanston, WY
Provider details
- NPI number
- 1023863768
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Micah Himmerich, Owner/Member(307) 789-0500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1425 Highway 150 S
Evanston, WY 82930-5377
Phone: (307) 789-0500
Approximate (ZIP-level) locationGet directions
Mailing address
1425 Highway 150 S
Evanston, WY 82930-5377
Registry dates
- Enumerated
- 2024-04-17
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.