SMILE DOCTORS OF WYOMING, P.C. (NPI# 1124521125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124521125 |
| Entity Type | Organization |
| Organization Name | SMILE DOCTORS OF WYOMING, P.C. |
| Practice Address |
5040 E 2nd St Ste 2 Casper WY 82609-4468 |
| Mailing Address |
4360 Boardwalk Dr Ste 200 Fort Collins CO 80525-5940 |
| Practice Telephone | 3072241050 |
| Mailing Telephone | 9702265505 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | CORY F COOMBS (SOLE SHAREHOLDER) |
| Authorized Official Telephone | 9702265505 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1297 | WY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4004 Laramie St, Cheyenne, WY 820012064 | 3076322480 | |
| 303 S 8th St, Laramie, WY 820703914 | 3077458362 |
| Street Address |
5040 E 2ND ST STE 2 |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891218392 | Matthew Gary Wold | Dentist | 5040 E 2nd St Ste 2, Casper, WY 82609-4468 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322109 | Candid Wyoming, P.C. | Dentist | 5830 E 2nd St, Casper, WY 82609-4308 | 2020-09-23 |
| 1629244637 | James Lewis Wetzel Jr. | Dentist | 932 S David St, Casper, WY 82601-3738 | 2008-04-30 |
| 1821186842 | John Elias Roussalis II | Dentist | 1216 E 2nd St, Casper, WY 82601-2927 | 2006-10-11 |
| 1417967639 | James Francis Hoag | Dentist | 814 S David St, Casper, WY 82601-3736 | 2006-08-09 |
| 1972019057 | Wyo Ortho, LLC | Dentist | 3090 Talon Dr, Casper, WY 82604-3279 | 2017-12-27 |
| 1679952865 | Denise R Prugh Dds | Dentist | 295 N Walsh Dr, Casper, WY 82609-1911 | 2015-05-21 |
| 1821420720 | Erickson Dmd PC | Dentist | 932 S David St, Casper, WY 82601-3738 | 2013-08-01 |
| 1598042814 | James F Hoag Dds PC | Dentist | 814 S David St, Casper, WY 82601-3736 | 2011-11-15 |
| 1225290992 | Adam L. Chorak | Dentist | 814 S David St, Casper, WY 82601-3736 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922578103 | Webb Orthodontics of Wyoming, LLP | Dentist | 124 Cole Shopping Ctr, Cheyenne, WY 82001-5366 | 2018-11-29 |
| 1104308030 | Moss Orthodontics, PC | Dentist | 613 Yellowstone Ave Ste B, Cody, WY 82414-9366 | 2018-09-06 |
| 1306367313 | Billings Orthodontics, Pllc | Dentist | 2910 Big Horn Ave Ste C, Cody, WY 82414-9365 | 2017-06-29 |
| 1811417942 | Billings Orthodontics, Pllc | Dentist | 1274 N Main St, Sheridan, WY 82801-3042 | 2017-06-20 |
| 1114452836 | Gillette Orthodontics LLC | Dentist | 530 Running W Dr, Suite 100, Gillette, WY 82718-2074 | 2017-05-01 |
| 1427421676 | Cheyenne Facial Imaging Center | Dentist | 1401 Airport Pkwy Ste 210, Cheyenne, WY 82001-1541 | 2015-11-10 |
| 1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
| 1942430640 | Wyoming Dental Imaging, LLC | Dentist | 799 S 2nd St # B, Lander, WY 82520-3703 | 2009-07-16 |
| 1568622751 | Donald L. Jorgensen | Dentist | 124 Cole Shopping Center, Cheyenne, WY 82001 | 2008-06-11 |
| 1366631335 | Stephen E Owens Jr. | Dentist | 1130 S Hwy 89, Jackson, WY 83001 | 2007-10-16 |
| 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.