OrganizationActive
Pinedale Dental
NPI 1033870779 · General Practice Dentistry · Pinedale, WY
Provider details
- NPI number
- 1033870779
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Alison Petersen, Receptionist(307) 367-3700
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33 Fremont Lake Rd
Pinedale, WY 82941-5213
Phone: (307) 367-3700
Fax: (307) 312-2848
Street-level locationGet directions
Mailing address
Po Box 1190
Pinedale, WY 82941-1190
Registry dates
- Enumerated
- 2022-01-05
- Last updated
- 2022-01-05
- Certified
- 2022-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.