IndividualActive
Michael Wine, DDS
NPI 1245353168 · Dentist · Jackson, WY
Michael Wine, DDS is a Dentist provider in Jackson, WY (NPI 1245353168).
Provider details
- NPI number
- 1245353168
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1325 (WY)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
610 W Broadway Ave
Jackson, WY 83001-8213
Phone: (307) 732-2273
Fax: (307) 732-1660
Street-level locationGet directions
Mailing address
6797 Shire Ridge Dr
Victor, ID 83455-5036
Registry dates
- Enumerated
- 2007-04-07
- Last updated
- 2016-09-01
Frequently asked questions
- What is Michael Wine's NPI number?
- Michael Wine's National Provider Identifier (NPI) is 1245353168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wine's specialty?
- Michael Wine is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Michael Wine located?
- Michael Wine's practice location on file with NPPES is 610 W Broadway Ave, Jackson, WY 83001-8213.
- What is Michael Wine's phone number?
- The practice phone number listed in the NPPES registry for Michael Wine is (307) 732-2273.
- Is Michael Wine's NPI active?
- Yes — Michael Wine's NPI (1245353168) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.