IndividualActive
Braiden Jorgensen, DDS
NPI 1649847310 · General Practice Dentistry · Jackson, WY
Provider details
- NPI number
- 1649847310
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1585 (WY)
Specialties & taxonomies
Dental Providers
Practice location
610 W Broadway Ave
Jackson, WY 83001-8213
Phone: (307) 732-2273
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 71
Tetonia, ID 83452-0071
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.