TRENTON KYLE BURRUP (NPI# 1134469570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134469570 |
| Entity Type | Individual |
| Full Name | TRENTON KYLE BURRUP |
| Credential | DDS |
| Practice Address |
2 N Main St Ste 405 Sheridan WY 82801-6324 |
| Practice Telephone | 3076727439 |
| Practice Fax Number | 3076727439 |
| Mailing Telephone | 3076727439 |
| Mailing Fax Number | 3076727439 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1310 | WY | Dental Providers |
| Street Address |
2 N MAIN ST STE 405 |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013330794 | Sheridan Wyo Dental | Dentist | 2 N Main St Ste 405, Sheridan, WY 82801-6324 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710454012 | Michelle L Meehan, Dds | Dentist | 1465 Burton St Ste A, Sheridan, WY 82801-2746 | 2018-10-25 |
| 1679003909 | Jahon Thomas Zehtaban | Dentist | 1409 S Rock St Ste B, Sheridan, AR 72150-7180 | 2017-06-19 |
| 1336559475 | Riley Wedlake | Dentist | 3960 River Point Pkwy # A, Sheridan, CO 80110-3315 | 2014-04-29 |
| 1942538384 | Brian Jeffrey Cook | Dentist | 941 Sugarland Dr Ste A, Sheridan, WY 82801-5380 | 2009-11-23 |
| 1407086366 | Matthew Bridwell | Dentist | 1310 S Rock St Ste 1, Sheridan, AR 72150-7223 | 2009-07-24 |
| 1770729204 | Paul D Fitzgerald, Dds | Dentist | 209 W Holly St, Sheridan, AR 72150-2425 | 2009-01-06 |
| 1720242902 | River Point Dental Group and Orthodontics LLP | Dentist | 3960 River Point Pkwy, Unit A, Sheridan, CO 80110 | 2008-07-16 |
| 1407052038 | Milton Siskin | Dentist | Coffeen Plaza Dental, 1003 Coffeen Avenue, Sheridan, WY 82801 | 2007-06-21 |
| 1144437963 | Cody L Coon | Dentist | 108 E Grinnell St, Sheridan, WY 82801-3938 | 2007-05-17 |
| 1700908183 | Carl Alyn Ritola Jr. | Dentist | 231 W Loucks St, Sheridan, WY 82801-4208 | 2007-04-04 |
| Find all providers in SHERIDAN | ||||
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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.