# ADVANCED DENTAL, INC.

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

## Provider details

- **NPI number:** 1770833113
- **Authorized official:** DR. SHAUN ROGER ROCKNAK D.D.S. (OWNER)
- **Authorized official phone:** (970) 685-1371

## Contact information

- **Practice address:** 7112 COMMONS CIR, CHEYENNE, WY 82009-9999
- **Practice address phone:** (970) 685-1371
- **Mailing address:** 7112 COMMONS CIR, CHEYENNE, WY 82009-9999
- **Mailing address phone:** (970) 685-1371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1302 | WY | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 09/13/2012