# LARAME DENTAL ARTS PC

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

## Provider details

- **NPI number:** 1386884054
- **Authorized official:** DR. TROY L KNAUB D.D.S. (PRACTICE OWNER)
- **Authorized official phone:** (307) 745-5020

## Contact information

- **Practice address:** 352 N 4TH ST, LARAMIE, WY 82072-3106
- **Practice address phone:** (307) 745-5020
- **Practice address fax:** (307) 745-0856
- **Mailing address:** 352 N 4TH ST, LARAMIE, WY 82072-3106
- **Mailing address phone:** (307) 745-5020
- **Mailing address fax:** (307) 745-0856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1200 | WY | Yes |
| 1223G0001X | General Practice Dentistry | 777 | WY | — |

## Other

- **Enumeration date:** 02/20/2009
- **Last updated:** 12/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106285900 | — | WY |