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

Teton Dermatology LLC

Organization Dermatology Physician · NPI 1194044750

Teton Dermatology LLC is a Dermatology Physician in Jackson, Wyoming. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

984 W Broadway Ste 4
Jackson, WY 83001-0000
Phone: (307) 734-1800
Fax: (307) 734-5012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1194044750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Executive Director · (512) 628-0465
NPI enumeratedMay 21, 2010
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730

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