Gillette Orthodontics LLC

NPI #1114452836 in Gillette, Wyoming

Provider Information

NPI Number: 1114452836
Entity Type: Organization
Organization Name: Gillette Orthodontics LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: May 1, 2017
Last Updated: May 1, 2017

Practice Location

Address: 530 RUNNING W DR
Address 2: SUITE 100
City: Gillette
State: Wyoming
ZIP Code: 82718-2074
Phone: (307) 257-2550

Authorized Official

Name: BRIAN WARD, DDS, MSD
Title: OWNER
Phone: (208) 918-5622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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