# ALPINE DENTAL,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336440213
- **Authorized official:** LINDA G COOPER (OFFICE MANAGER)
- **Authorized official phone:** (307) 426-4014

## Contact information

- **Practice address:** 4000 LARAMIE ST, CHEYENNE, WY 82001-2064
- **Practice address phone:** (307) 426-4014
- **Practice address fax:** (307) 426-4016
- **Mailing address:** 4000 LARAMIE ST, CHEYENNE, WY 82001-2064
- **Mailing address phone:** (307) 426-4014
- **Mailing address fax:** (307) 426-4016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1086 | WY | Yes |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 11/09/2010
