# CODY DENTAL EXCELLENCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wyoming Dental Excellence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154696409
- **Authorized official:** DR. DEVON HOLEMAN DMD (DENTIST)
- **Authorized official phone:** (307) 587-3000

## Contact information

- **Practice address:** 726 ALLEN AVE, CODY, WY 82414-3443
- **Practice address phone:** (307) 587-3000
- **Practice address fax:** (307) 587-3012
- **Mailing address:** 726 ALLEN AVE, CODY, WY 82414-3443
- **Mailing address phone:** (307) 587-3000
- **Mailing address fax:** (307) 587-3012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1290 | WY | Yes |

## Other

- **Enumeration date:** 03/20/2012
- **Last updated:** 03/20/2012