# RJ SMILES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Joshua G. Wagner DDS PC, DENTAL CARE OF JACKSON HOLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063539963
- **Authorized official:** PAULA J RIDGEWAY DDS (MANAGING PARTNER)
- **Authorized official phone:** (307) 732-2273

## Contact information

- **Practice address:** 610 WEST BROADWAY AVE, SUITE 106, JACKSON, WY 83001
- **Practice address phone:** (307) 732-2273
- **Practice address fax:** (307) 732-1660
- **Mailing address:** P.O. BOX 9340, JACKSON, WY 83002-9340
- **Mailing address phone:** (307) 732-2273
- **Mailing address fax:** (307) 732-1660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 10/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119801700 | — | WY |