Star Valley Oral Surgery
Star Valley Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Thayne, Wyoming. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
487 N Main Ste BThayne, WY 83127
Phone: (307) 883-4222
Fax: (307) 883-4222
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|
Record details
| NPI number | 1821610957 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Johnson — President · (307) 883-4222 |
| NPI enumerated | May 12, 2020 |
| Last updated in NPPES | May 12, 2020 |
| Certification date | May 12, 2020 |
| Mailing address | Po Box 1365, Thayne, WY 83127-1365 |