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Organization
RJ SMILES, LLC
Active
Organization
RJ SMILES, LLC
Active
Other names
Joshua G. Wagner DDS PC, DENTAL CARE OF JACKSON HOLE
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA J RIDGEWAY DDS (MANAGING PARTNER)
(307) 732-2273
Entity
Organization
Contact information
Practice address
610 WEST BROADWAY AVE, SUITE 106, JACKSON, WY 83001
(307) 732-2273
(307) 732-1660
Mailing address
P.O. BOX 9340, JACKSON, WY 83002-9340
(307) 732-2273
(307) 732-1660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119801700
—
WY
Enumeration date
03/23/2007
Last updated
10/23/2025
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