OrganizationActive
Derrik Walton DDS & Darren J. Ruesch DDS, PC
NPI 1154523728 · General Practice Dentistry · Cody, WY
Provider details
- NPI number
- 1154523728
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Derrik Walton, President
- License
- 1008 & 1135 (WY)
Practice location
1525 Bleistein Ave
Cody, WY 82414-3806
Phone: (307) 587-2951
Fax: (307) 587-2760
Mailing address
1525 Bleistein Ave
Cody, WY 82414-3806
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.