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Elkridge Dental South LLC — NPI 1538822374, Jackson, WY | NPI Central

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OrganizationActive

Elkridge Dental South LLC

NPI 1538822374 · Dental Clinic/Center · Jackson, WY

Provider details

NPI number: 1538822374
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Nathan Tanner, President(503) 866-8454

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

1315 S Hwy 89

Jackson, WY 83001-8514

Phone: (307) 733-4122

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

Po Box 1190

Jackson, WY 83001-1190

Registry dates

Enumerated: 2021-10-19
Last updated: 2021-10-19
Certified: 2021-10-19

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