Cotant Family Dentistry, P.c. | |
112 High Street Buffalo WY 82834 | |
(307) 684-2733 | |
(307) 684-2437 |
Full Name | Cotant Family Dentistry, P.c. |
---|---|
Speciality | Dentist |
Location | 112 High Street, Buffalo, Wyoming |
Authorized Official Name and Position | Brian Jerome Cotant (OWNER DENTIST) |
Authorized Official Contact | 3076842733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cotant Family Dentistry, P.c. Po Box 126 112 High Street Buffalo WY 82834 Ph: (307) 684-2733 | Cotant Family Dentistry, P.c. 112 High Street Buffalo WY 82834 Ph: (307) 684-2733 |
NPI Number | 1366502726 |
---|---|
Provider Enumeration Date | 12/08/2006 |
Last Update Date | 03/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366502726 | NPI | - | NPPES |
121328800 | Medicaid | WY | |
121329600 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1129 (Wyoming) | Primary |
124Q00000X | Dental Hygienist | 807 (Wyoming) | Secondary |
124Q00000X | Dental Hygienist | 841 (Wyoming) | Secondary |
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