DR. L GRANT CHRISTENSEN (NPI# 1760520514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760520514 |
Entity Type | Individual |
Full Name | DR. L GRANT CHRISTENSEN |
Credential | DDS |
Practice Address |
657 Pilot Butte Ave Rock Springs WY 82901-5343 |
Practice Telephone | 3073823159 |
Practice Fax Number | 3073623591 |
Mailing Telephone | 3073823159 |
Mailing Fax Number | 3073623591 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
592 | WY | Dental Providers |
Street Address |
657 PILOT BUTTE AVE |
City | ROCK SPRINGS |
State | WY |
Zip Code | 82901-5343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063800035 | Lcr Dental Rock Springs LLC | Dentist | 657 Pilot Butte Ave, Rock Springs, WY 82901-5343 | 2014-12-29 |
1821294778 | Clint K Lee | Dentist | 657 Pilot Butte Ave, Rock Springs, WY 82901-5343 | 2007-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
Find all providers in zip 82901 |
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 |
---|---|---|---|---|
1619434313 | Childrens Dental Center of Rock Springs | Dentist | 1208 Hilltop Dr Ste 209, Rock Springs, WY 82901-5860 | 2019-02-28 |
1336458397 | Weston Keith Jones | Dentist | 1208 Hilltop Dr Ste 209, Rock Springs, WY 82901-5860 | 2010-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942775960 | Clubhouse Pediatric Dentistry of Jackson | Dentist | 1130 Us-89, Jackson Hole, WY 83001-8701 | 2018-10-05 |
1891218392 | Matthew Gary Wold | Dentist | 5040 E 2nd St Ste 2, Casper, WY 82609-4468 | 2017-07-18 |
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 |
1750584173 | Roy E. Paulson Jr PC | Dentist | 102 N. Kenwood St., Casper, WY 82601-2724 | 2007-06-06 |
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 |
1750459319 | David A Krise | Dentist | 25 Pebbles Lane, Lander, WY 82520 | 2006-12-01 |
1104921907 | Roy E Paulson | Dentist | 102 N Kenwood, Casper, WY 82601 | 2006-09-14 |
Find all providers with the same taxonomy |
City | ROCK SPRINGS |
Zip Code | 82901 |
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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.