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James Derrico, DDS, LLC — NPI 1891801585, Jackson, WY | NPI Central

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NPI 1891801585

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James Derrico, DDS, LLC

NPI 1891801585 · Dentist · Jackson, WY

Provider details

NPI number: 1891801585
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS, LLC
Sex: Male
Sole proprietor: No
License: 1509 (WY)

Specialties & taxonomies

DentistPrimary122300000XLicense 1509 (WY)
Dental Providers

Practice location

1130 S Hwy 89

Jackson, WY 83001-8512

Phone: (307) 200-6644

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

Po Box 806

Jackson, WY 83001-0806

Additional practice locations (1)

1130 S Hwy 89
Jackson, WY 83001-8512
Phone: (307) 200-6644

Registry dates

Enumerated: 2006-08-22
Last updated: 2023-05-07
Certified: 2023-05-07

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