# ORAL & MAXILLOFACIAL SURGEONS OF WYOMING

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

## Provider details

- **NPI number:** 1760856710
- **Authorized official:** JASON CANDLER DMD (PARTNER)
- **Authorized official phone:** (307) 389-2999

## Contact information

- **Practice address:** 2405 CASCADE DR, ROCK SPRINGS, WY 82901-5580
- **Practice address phone:** (307) 389-2999
- **Mailing address:** 2297 N HILL FIELD RD \# A105, LAYTON, UT 84041-6920
- **Mailing address phone:** (801) 779-0506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2015
- **Last updated:** 11/13/2015