TETON ORAL & MAXILLOFACIAL SURGERY (NPI# 1164430971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164430971 |
| Entity Type | Organization |
| Organization Name | TETON ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
1160 Alpine Lane #1d Jackson WY 83002 |
| Mailing Address |
Po Box 9339 Jackson WY 83002-9339 |
| Practice Telephone | 3077398611 |
| Practice Fax Number | 3077398613 |
| Mailing Telephone | 3077398611 |
| Mailing Fax Number | 3077398613 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | MICHAEL STERN (PRESIDENT) |
| Authorized Official Telephone | 3077398611 |
| Authorized Official Credential | DMD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 119386400 | 05 |
| Street Address |
1160 ALPINE LANE #1D |
| City | JACKSON |
| State | WY |
| Zip Code | 83002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836336 | Casey Orzech | Registered Nurse | 4584 Fishing Club Drive, Jackson, WY 83002 | 2019-02-06 |
| 1093050510 | Irene Ann Nelson | Physician Assistant | 1490 Gregory Lane, Jackson, WY 83002 | 2012-12-10 |
| 1548590102 | Amy Pitman | Social Worker | 460 Cache Street, Jackson, WY 83002 | 2010-01-05 |
| 1669606943 | Canyon River Staffing | Nursing Care | 265 Blair Dr, Apt A, Jackson, WY 83002 | 2009-05-14 |
| 1477745842 | Catherine Haynes Wuthrich | Psychiatry & Neurology | 2092 Lilac Lane, Jackson, WY 83002 | 2007-08-09 |
| 1952518086 | Jennifer Agger Kandolin | Counselor | 420 South Jackson St., Jackson, WY 83002 | 2007-05-17 |
| 1992828503 | Ann M Fenn | Obstetrics & Gynecology | 62 Redmond St, Jackson, WY 83002 | 2007-04-09 |
| 1295863504 | Chad Roberts | Optometrist | 110 Buffalo Way, Ste A, Jackson, WY 83002 | 2007-02-28 |
| 1972645315 | Wyoming Eye Care Inc PC | Optometrist | 110 Buffalo Way St A, Jackson, WY 83002 | 2007-02-13 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| Find all providers in zip 83002 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1831225465 | Jackson Ent Clinic, Psc | Oral & Maxillofacial Surgery | 1550 Highway 15 S Ste 29, Jackson, KY 41339-9221 | 2007-02-26 |
| 1629081385 | Tariq A Sartawi | Oral & Maxillofacial Surgery | 1550 Hwy 15 South, Suite #29, Jackson, KY 41339-0768 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144568924 | Clyde Wallace Stock | Oral & Maxillofacial Surgery | 156 County Road 114, Freedom, WY 83120 | 2013-01-29 |
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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.