Southern Wyoming Periodontics LLC

NPI #1881557072 in Cheyenne, Wyoming

Provider Information

NPI Number
1881557072
Entity Type
Organization
Organization Name
Southern Wyoming Periodontics LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHERN COLORADO PERIODONTICS
Primary Specialty
Dentist - Periodontics
Enumeration Date
Dec 4, 2025
Last Updated
Dec 4, 2025

Practice Location

Address
7010 YELLOWTAIL RD STE 200
State
Wyoming
ZIP Code
82009-6113
Phone
(307) 423-0325

Authorized Official

Name
DR. JESSICA ALLEN, DMD, MSD
Title
OWNER DOCTOR
Phone
(307) 423-0325

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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