# ALBANY COUNTY FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Albany County Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619433174
- **Authorized official:** DR. BYRON W KILLPACK DR (DENTIST/OWNER)
- **Authorized official phone:** (307) 755-0444

## Contact information

- **Practice address:** 1156 N 22ND ST STE A, LARAMIE, WY 82072-5403
- **Practice address phone:** (307) 755-0444
- **Mailing address:** P.O. BOX 1150, LARAMIE, WY 82073
- **Mailing address phone:** (307) 755-0444
- **Mailing address fax:** (307) 755-0808

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2019
- **Last updated:** 02/20/2019