# POWDER RIVER DENTAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRDA, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295833879
- **Authorized official:** DR. HOLLY SCHAMBER DDS (OWNER)
- **Authorized official phone:** (307) 682-6771

## Contact information

- **Practice address:** 1211 S DOUGLAS HWY STE 200, GILLETTE, WY 82716-4968
- **Practice address phone:** (307) 682-6771
- **Practice address fax:** (307) 682-9895
- **Mailing address:** 1211 S DOUGLAS HWY STE 200, GILLETTE, WY 82716-4968
- **Mailing address phone:** (307) 682-6771
- **Mailing address fax:** (307) 682-9895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 198000183327 | WY | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/11/2026