# SOH OF WYOMING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOH OF WYOMING LLC
- **Other names:** Westgate Dental Clinic, DBA Westgate Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740942002
- **Legal business name:** SOH OF WYOMING LLC
- **Authorized official:** ASHLY KRISTINE SUNSHINE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (314) 413-2803

## Contact information

- **Practice address:** 121 W CARLSON ST, CHEYENNE, WY 82009-4044
- **Practice address phone:** (307) 635-1197
- **Mailing address:** 1190 MERAMEC STATION RD STE 110, BALLWIN, MO 63021-6902
- **Mailing address phone:** (636) 362-4986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 09/28/2026