# D. WAYNE BIRCH, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1437369279
- **Authorized official:** DR. DENNIS WAYNE BIRCH D.D.S. (PRES.)
- **Authorized official phone:** (307) 875-3658

## Contact information

- **Practice address:** 661 UINTA DR, GREEN RIVER, WY 82935-5031
- **Practice address phone:** (307) 875-3658
- **Practice address fax:** (307) 875-5846
- **Mailing address:** PO BOX 309, GREEN RIVER, WY 82935-0309
- **Mailing address phone:** (307) 875-3658
- **Mailing address fax:** (307) 875-5846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 607 | WY | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020