# OAK HAVEN DENTAL

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

## Provider details

- **NPI number:** 1477094852
- **Authorized official:** DR. JEFFERY P HAMMOND DDS (DENTIST/OWNER)
- **Authorized official phone:** (307) 857-2020

## Contact information

- **Practice address:** 203 E MAIN ST, SUITE 205, RIVERTON, WY 82501-4350
- **Practice address phone:** (307) 857-2020
- **Practice address fax:** (307) 857-2727
- **Mailing address:** 203 E MAIN ST, SUITE 205, RIVERTON, WY 82501-4350
- **Mailing address phone:** (307) 857-2020
- **Mailing address fax:** (307) 857-2727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1435 | WY | Yes |

## Other

- **Enumeration date:** 03/17/2017
- **Last updated:** 03/17/2017