James L. Derrico DDS LLC
James L. Derrico DDS LLC is a Dental Clinic/Center in Jackson, Wyoming. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1130 S Hwy 89Jackson, WY 83001-8512
Phone: (307) 200-6644
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X |
Record details
| NPI number | 1235700014 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Derrico — Owner · (630) 399-7367 |
| NPI enumerated | July 2, 2021 |
| Last updated in NPPES | August 3, 2023 |
| Certification date | August 3, 2023 |
| Mailing address | Po Box 806, Jackson, WY 83001-0806 |
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