Prairie Sky Dental

NPI #1922437847 in Gillette, Wyoming

Provider Information

NPI Number: 1922437847
Entity Type: Organization
Organization Name: Prairie Sky Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 1, 2013
Last Updated: Nov 1, 2013

Practice Location

Address: 207 RICHARDS AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-3630
Phone: (307) 685-1111

Authorized Official

Name: DR. CAROL L ANDERSON, DDS
Title: OWNER/DENTIST
Phone: (307) 685-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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