OrganizationActive
Star Valley Oral Surgery
NPI 1821610957 · Oral and Maxillofacial Surgery (Dentist) · Thayne, WY
Provider details
- NPI number
- 1821610957
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mark Johnson, President(307) 883-4222
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
487 N Main
Suite B
Thayne, WY 83127
Phone: (307) 883-4222
Fax: (307) 883-4222
Street-level locationGet directions
Mailing address
Po Box 1365
Thayne, WY 83127-1365
Registry dates
- Enumerated
- 2020-05-12
- Last updated
- 2020-05-12
- Certified
- 2020-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.