Blacks Fork Dental, Pc in Mt View, WY - Clinic/Center

Blacks Fork Dental, Pc is a dental clinic (Clinic/center - Dental) in Mt View, Wyoming. The current practice location for Blacks Fork Dental, Pc is 650 Parkway Dr, Mt View, Wyoming. For appointments, you can reach them via phone at (307) 782-3630. The mailing address for Blacks Fork Dental, Pc is Po Box 356, Mountain View, Wyoming and phone number is (307) 782-3630.

Blacks Fork Dental, Pc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1508322603. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (307) 782-3630.

Contact Information

	Blacks Fork Dental, Pc
	650 Parkway Dr Mt View WY 82939
	(307) 782-3630
	Not Available

Dental Care Clinic Profile

Full Name	Blacks Fork Dental, Pc
Speciality	Clinic/center - Dental
Location	650 Parkway Dr, Mt View, Wyoming
Authorized Official Name and Position	Nathan Ren Lester (PRESIDENT)
Authorized Official Contact	3077823630
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blacks Fork Dental, Pc Po Box 356 Mountain View WY 82939-0356 Ph: (307) 782-3630	Blacks Fork Dental, Pc 650 Parkway Dr Mt View WY 82939 Ph: (307) 782-3630

NPI Details:

NPI Number	1508322603
Provider Enumeration Date	02/13/2019
Last Update Date	02/13/2019

Medical Identifiers

Medical identifiers for Blacks Fork Dental, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508322603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QD0000X	Clinic/center - Dental	(* (Not Available))	Primary

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Blacks Fork Dental, Pc - Dental Clinic in Mt View, WY