# WHITE MOUNTAIN DENTAL

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

## Provider details

- **NPI number:** 1497988356
- **Authorized official:** DR. TYLER BARNEY CARLSON (OWNER/DENTIST)
- **Authorized official phone:** (307) 362-2220

## Contact information

- **Practice address:** 2701 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-4889
- **Practice address phone:** (307) 362-2220
- **Practice address fax:** (307) 362-2322
- **Mailing address:** 2701 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-4889
- **Mailing address phone:** (307) 362-2220
- **Mailing address fax:** (307) 362-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1216 | WY | Yes |

## Other

- **Enumeration date:** 08/26/2009
- **Last updated:** 03/09/2015
