# ROCKY MOUNTAIN FAMILY DENTAL

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

## Provider details

- **NPI number:** 1629483813
- **Authorized official:** DR. LACI DAWN RECTOR DDS,PC (DENTIST)
- **Authorized official phone:** (307) 587-5588

## Contact information

- **Practice address:** 956 12TH ST, CODY, WY 82414-3602
- **Practice address phone:** (307) 587-5588
- **Practice address fax:** (307) 587-7123
- **Mailing address:** 956 12TH ST, CODY, WY 82414-3602
- **Mailing address phone:** (307) 587-5588
- **Mailing address fax:** (307) 587-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1384 | WY | Yes |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 07/01/2014