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

Teton Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1740776202

Teton Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Jackson, Wyoming. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1160 Alpine Ln Ste 1D
Jackson, WY 83001
Phone: (307) 739-8611
Fax: (307) 739-8613
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1740776202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridget Mullen — Office Manager · (307) 690-1513
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 26, 2018
Mailing addressPo Box 9339, Jackson, WY 83002-9339

Other providers in Jackson