Grant Kollenborn
Grant Kollenborn is a General Practice Dentistry in Jackson, Wyoming. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2014
Practice location Address checks out
1315 US-89 Ste 102Jackson, WY 83001
Phone: (307) 733-4122
Fax: (307) 733-4164
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 6488 (LA) |
|---|
Record details
| NPI number | 1548678758 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2014 |
| Last updated in NPPES | August 7, 2026 |
| Certification date | August 7, 2026 |
| Mailing address | Po Box 8888, Jackson, WY 83002-8888 |
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