Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cheyenne Periodontics, PC

Organization Periodontics · NPI 1326127234

Cheyenne Periodontics, PC is a Periodontics in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 Airport Pkwy Ste 110
Cheyenne, WY 82001-1518
Phone: (307) 632-4574
Fax: (307) 632-4574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 890 (WY)

Record details

NPI number1326127234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Van Ginkel — Dentist · (307) 632-4574
NPI enumeratedNovember 2, 2006
Last updated in NPPESSeptember 22, 2012
Mailing address1401 Airport Pkwy, Suite 110, Cheyenne, WY 82001-1518

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