Robert P. Tyrrell, D.d.s. | |
1702 Antelope Street Kemmerer WY 83101-3900 | |
(307) 877-4715 | |
(307) 877-3475 |
Full Name | Robert P. Tyrrell, D.d.s. |
---|---|
Speciality | Dentist - General Practice |
Location | 1702 Antelope Street, Kemmerer, Wyoming |
Authorized Official Name and Position | Rachel Wood (OFFICE MANAGER) |
Authorized Official Contact | 3078774715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert P. Tyrrell, D.d.s. Po Box 228 Kemmerer WY 83101-0228 Ph: (307) 877-4715 | Robert P. Tyrrell, D.d.s. 1702 Antelope Street Kemmerer WY 83101-3900 Ph: (307) 877-4715 |
NPI Number | 1104207927 |
---|---|
Provider Enumeration Date | 06/17/2015 |
Last Update Date | 06/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104207927 | NPI | - | NPPES |
116184900 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 813 (Wyoming) | Primary |
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Diamond G Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Antelope Street, Kemmerer, WY 83101 Phone: 307-877-4715 |