OrganizationActive
Elkridge Dental South LLC
NPI 1538822374 · Dental Clinic/Center · Jackson, WY
Elkridge Dental South LLC is a Dental Clinic/Center organization in Jackson, WY (NPI 1538822374).
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
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1315 S Hwy 89
Jackson, WY 83001-8514
Phone: (307) 733-4122
Street-level locationGet directions
Mailing address
Po Box 1190
Jackson, WY 83001-1190
Registry dates
- Enumerated
- 2021-10-19
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Frequently asked questions
- What is Elkridge Dental South LLC's NPI number?
- Elkridge Dental South LLC's National Provider Identifier (NPI) is 1538822374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elkridge Dental South LLC?
- Elkridge Dental South LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Elkridge Dental South LLC located?
- Elkridge Dental South LLC's practice location on file with NPPES is 1315 S Hwy 89, Jackson, WY 83001-8514.
- What is Elkridge Dental South LLC's phone number?
- The practice phone number listed in the NPPES registry for Elkridge Dental South LLC is (307) 733-4122.
- Who is the authorized official for Elkridge Dental South LLC?
- The authorized official listed on Elkridge Dental South LLC's NPPES record is Nathan Tanner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elkridge Dental South LLC's NPI active?
- Yes — Elkridge Dental South LLC's NPI (1538822374) is active in the NPPES registry as of the last update on 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.