OrganizationActive
Alpine Denitstry
NPI 1619503349 · Dental Clinic/Center · Jackson, WY
Provider details
- NPI number
- 1619503349
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kiffin Hansen, Office Manager(307) 734-5200
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
945 W Broadway Ave Apt 201
Jackson, WY 83001-8217
Phone: (307) 734-5200
Fax: (307) 733-2922
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11779
Jackson, WY 83002-1779
Other names (DBA / former)
- Other name
- Tyler Bergien, DDS
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.