# GRAND AVENUE DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Thomas McGavey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427063825
- **Authorized official:** DR. THOMAS MCGARVEY DDS (DENTIST)
- **Authorized official phone:** (307) 745-5647

## Contact information

- **Practice address:** 303 S 8TH ST, LARAMIE, WY 82070
- **Practice address phone:** (307) 745-5647
- **Practice address fax:** (307) 721-9866
- **Mailing address:** 303 S 8TH ST, LARAMIE, WY 82070
- **Mailing address phone:** (307) 745-5647
- **Mailing address fax:** (307) 721-9866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 506 | WY | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020