IndividualActive
Bradley Walgren, DDS
NPI 1093749145 · General Practice Dentistry · Laramie, WY
Provider details
- NPI number
- 1093749145
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 921 (WY)
Specialties & taxonomies
Dental Providers
Practice location
3421 E Garfield
Laramie, WY 82070
Phone: (307) 745-8513
Fax: (307) 745-0263
Approximate (ZIP-level) locationGet directions
Mailing address
3421 E Garfield
Laramie, WY 82070
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2017-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.