OrganizationActive
Blue Tooth Dental Inc.
NPI 1063664795 · General Practice Dentistry · Evanston, WY
Provider details
- NPI number
- 1063664795
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sherry Hancock, Office Manager(307) 789-9034
- License
- 715 (WY)
Specialties & taxonomies
Dental Providers
Practice location
545 Cheyenne Dr
Suite C
Evanston, WY 82930-5323
Phone: (307) 789-9034
Fax: (307) 789-9065
Approximate (ZIP-level) locationGet directions
Mailing address
545 Cheyenne Dr
Evanston, WY 82930-5323
Registry dates
- Enumerated
- 2008-10-13
- Last updated
- 2008-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.