OrganizationActive
Teton Oral & Maxillofacial Surgery
NPI 1164430971 · Oral & Maxillofacial Surgery (D.M.D.) · Jackson, WY
Provider details
- NPI number
- 1164430971
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Stern, President(307) 739-8611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Practice location
1160 Alpine Lane
#1d
Jackson, WY 83002
Phone: (307) 739-8611
Fax: (307) 739-8613
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9339
Jackson, WY 83002-9339
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2018-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.