DR. ROY E PAULSON (NPI# 1104921907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104921907 |
| Entity Type | Individual |
| Full Name | DR. ROY E PAULSON |
| Credential | DDS |
| Practice Address |
102 N Kenwood Casper WY 82601 |
| Practice Telephone | 3072661997 |
| Mailing Telephone | 3072661997 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
864 | WY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 112331900 | 05 | |
| WY | 112331901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518901263 | Roy Steven Paulson | Internal Medicine | 3410 Worth St, Dallas, TX 75246-2044 | 2006-06-15 |
| Street Address |
102 N KENWOOD |
| City | CASPER |
| State | WY |
| Zip Code | 82601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891218392 | Matthew Gary Wold | Dentist | 5040 E 2nd St Ste 2, Casper, WY 82609-4468 | 2017-07-18 |
| 1750584173 | Roy E. Paulson Jr PC | Dentist | 102 N. Kenwood St., Casper, WY 82601-2724 | 2007-06-06 |
| 1003921735 | Denise R Prugh | Dentist | 295 N Walsh Dr, Casper, WY 82609-1911 | 2006-08-21 |
| 1205303195 | Surfin Smiles LLC | Dentist | 295 N Walsh Dr, Casper, WY 82609-1911 | 2018-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775960 | Clubhouse Pediatric Dentistry of Jackson | Dentist | 1130 Us-89, Jackson Hole, WY 83001-8701 | 2018-10-05 |
| 1013289966 | Gillette Pediatric Dentistry LLC | Dentist | 433 Shadow Ridge Blvd, Sheridan, WY 82801-9350 | 2012-02-07 |
| 1477862076 | David G Bailey | Dentist | 531 Coffeen Ave, Sheridan, WY 82801-5311 | 2010-09-29 |
| 1972822930 | Abc Pediatric Dentistry, LLC | Dentist | 610 S 4j Ct # B, Gillette, WY 82716-4127 | 2010-05-28 |
| 1821207036 | Roy E. Paulson Jr PC | Dentist | 2805 Cedar Ave Ste A, Gillette, WY 82718-2000 | 2007-05-22 |
| 1518091859 | Jay Q. Cole | Dentist | 6900 Yellowtail Rd, Suite 100, Cheyenne, WY 82009-6102 | 2007-03-16 |
| 1760520514 | L Grant Christensen | Dentist | 657 Pilot Butte Ave, Rock Springs, WY 82901-5343 | 2007-02-02 |
| 1750459319 | David A Krise | Dentist | 25 Pebbles Lane, Lander, WY 82520 | 2006-12-01 |
| 1477571610 | John Reichmann Leonard | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2006-07-17 |
| 1619434313 | Childrens Dental Center of Rock Springs | Dentist | 1208 Hilltop Dr Ste 209, Rock Springs, WY 82901-5860 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.