# ARROWHEAD DENTAL -AD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 2BrewersandaCanuckDental LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508532482
- **Authorized official:** JONATHAN MORGAN DDS (OWNER)
- **Authorized official phone:** (307) 789-5210

## Contact information

- **Practice address:** 50 ARROWHEAD DR, EVANSTON, WY 82930-9243
- **Practice address phone:** (307) 789-5210
- **Mailing address:** 50 ARROWHEAD DR, EVANSTON, WY 82930-9243
- **Mailing address phone:** (307) 789-5210

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 08/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119553100 | — | WY |
| 05 | — | 125569000 | — | WY |
| 05 | — | 140937900 | — | WY |