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

Wyoming Cosmetic and Family Dental

Organization Dentist · NPI 1194205401

Wyoming Cosmetic and Family Dental is a Dentist in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2018.

Licensed in
WY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

4620 Grandview Ave Ste #101
Cheyenne, WY 82009
Phone: (307) 635-2419
Fax: (307) 772-3443
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1199 (WY)
Dentist Taxonomy 122300000X · Licence 1490 (WY)

Record details

NPI number1194205401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Whiting — Owner · (307) 635-2419
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 16, 2018
Mailing address4620 Grandview Ave, Suite 101, Cheyenne, WY 82009

Other providers in Cheyenne