OrganizationActive
Diamond G Dental LLC
NPI 1205291242 · General Practice Dentistry · Kemmerer, WY
Provider details
- NPI number
- 1205291242
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Grandy, President(307) 723-0448
- License
- 1386 (WY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1702 Antelope Street
Kemmerer, WY 83101-4049
Phone: (307) 877-4715
Street-level locationGet directions
Mailing address
1806 Antelope St Apt D
Kemmerer, WY 83101-4049
Other names (DBA / former)
- Doing business as
- Diamond G Dental
Registry dates
- Enumerated
- 2015-12-17
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.