DEER CREEK DENTISTRY, PC (NPI# 1457877987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457877987 |
| Entity Type | Organization |
| Organization Name | DEER CREEK DENTISTRY, PC |
| Practice Address |
514 South Durbin Street Casper WY 82601 |
| Practice Telephone | 3072355344 |
| Practice Fax Number | 3074738588 |
| Mailing Telephone | 3072355344 |
| Mailing Fax Number | 3074738588 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | BRIAN RODNEY ROCHELLE (DENTIST/OWNER) |
| Authorized Official Telephone | 3072355344 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1319 | WY | Dental Providers |
| Street Address |
514 SOUTH DURBIN STREET |
| 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 |
| 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 |
| 1568868453 | Nina Pridham | Chiropractor | 3075 W Homa Hills Rd, Casper, WY 82601 | 2014-11-05 |
| Find all providers in zip 82601 | ||||
| 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 |
|---|---|---|---|---|
| 1578916417 | Jessica Wells | Dentist | 1933 E A St, Casper, WY 82601-2224 | 2016-07-15 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1093951352 | Jack Benjamin Hardy | Dentist | 4611 Arroyo Dr, Suite 1, Casper, WY 82604-5116 | 2008-12-16 |
| 1861637613 | Larissa Mae Tolley | Dentist | 1347 S. Beverly, Casper, WY 82609-4133 | 2008-12-09 |
| 1992827489 | Randall L. Griffith I | Dentist | 153 S Fenway St, Casper, WY 82601-2721 | 2007-04-04 |
| 1780703223 | Melissa A Youmans | Dentist | 1122 S Conwell St, Casper, WY 82601-3965 | 2007-03-28 |
| 1558488742 | Roger Dean Batchelder | Dentist | 1555 E 12th St, Casper, WY 82601-4002 | 2007-03-23 |
| 1841331287 | Jessica Lynn Cassity | Dentist | 102 N Kenwood St, Casper, WY 82601-2724 | 2007-02-09 |
| 1225178965 | Harold K Neubert | Dentist | 514 So Durbin Street, Casper, WY 82601 | 2007-02-08 |
| 1770629628 | Paul Alan Dona | Dentist | 1201 S Elk Street, Casper, WY 82601-4009 | 2007-01-29 |
| Find all providers in CASPER | ||||
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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.