Dr. Michael J Wine, DDS
Dr. Michael J Wine, DDS is a Dentist in Jackson, Wyoming. Licensed in Idaho and Wyoming. Registered with an NPI since 2007.
- Licensed in
- ID, WY
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- DDS — Doctor of Dental Surgery
- A dentist. DDS and DMD are the same qualification — universities choose which title to award.
Practice location Address checks out
610 W Broadway AveJackson, WY 83001-8213
Phone: (307) 732-2273
Fax: (307) 732-1660
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
| Dentist (primary) | Taxonomy 122300000X · Licence 1325 (WY) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence D 4424 (ID) |
Record details
| NPI number | 1245353168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | April 7, 2007 |
| Last updated in NPPES | September 1, 2016 |
| Mailing address | 6797 Shire Ridge Dr, Victor, ID 83455-5036 |
Other providers in Jackson
-
Rebecca Cloetta DDS PC
1315 S Hwy 89 Ste 102, Jackson, WY 83001 · (307) 733-4122
-
Dr. Alice Eve L Richter, DDS
2952 Big Trail Dr, Jackson, WY 83001 · (307) 733-6106
-
Rj Smiles, LLC
610 W Broadway Ave Ste 106, Jackson, WY 83001 · (307) 732-2273
-
Dr. Nathan John Tanner, DMD
200 E Broadway Ave # 1190, Jackson, WY 83001-8634 · (307) 733-5222