Gillette Pediatric Dentistry LLC

NPI #1013289966 in Sheridan, Wyoming

Provider Information

NPI Number
1013289966
Entity Type
Organization
Organization Name
Gillette Pediatric Dentistry LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Feb 7, 2012
Last Updated
Jan 6, 2017

Practice Location

Address
433 SHADOW RIDGE BLVD
State
Wyoming
ZIP Code
82801-9350
Phone
(307) 670-8118

Authorized Official

Name
DR. DAVID GLENN BAILEY, D.D.S.
Title
PEDIATRIC DENTIST
Phone
(307) 670-8118

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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