# DENTAL CARE OF JACKSON HOLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Care of Alpine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417074261
- **Authorized official:** ERIN RATHBAND-SMITH (OFFICE MANAGER)
- **Authorized official phone:** (307) 654-2273

## Contact information

- **Practice address:** 363 DEER LANE, ALPINE, WY 83128
- **Practice address phone:** (307) 654-2273
- **Mailing address:** PO BOX 3469, ALPINE, WY 83128-0469
- **Mailing address phone:** (307) 654-2273

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 04/29/2010