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Blacks Fork Dental, PC — NPI 1508322603, Mt View, WY | NPI Central

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NPI 1508322603

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Blacks Fork Dental, PC

NPI 1508322603 · Dental Clinic/Center · Mt View, WY

Provider details

NPI number: 1508322603
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Nathan Lester, President(307) 782-3630

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

650 Parkway Dr

Mt View, WY 82939

Phone: (307) 782-3630

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

Po Box 356

Mountain View, WY 82939-0356

Registry dates

Enumerated: 2019-02-13
Last updated: 2019-02-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.