Creekside Dental LLC

NPI #1285982025 in Sheridan, Wyoming

Provider Information

NPI Number
1285982025
Entity Type
Organization
Organization Name
Creekside Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 28, 2012
Last Updated
Dec 31, 2014

Practice Location

Address
642 VAL VISTA ST
Address 2
STUITE #A
State
Wyoming
ZIP Code
82801-3659
Phone
(307) 674-9222

Authorized Official

Name
DR. JOSEPH ROLLIN MCCOLLEY, D.D.S
Title
OWNER/DENTIST
Phone
(307) 674-9222

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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