# DENTAL CARE CENTER PC

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

## Provider details

- **NPI number:** 1780784942
- **Authorized official:** NEKTARIOS A BOUZIS D.D.S. (PRESIDENT/DENTIST)
- **Authorized official phone:** (307) 682-0233

## Contact information

- **Practice address:** 708 W 8TH ST, GILLETTE, WY 82716-4109
- **Practice address phone:** (307) 682-0233
- **Practice address fax:** (307) 682-5986
- **Mailing address:** 708 W 8TH ST, GILLETTE, WY 82716-4109
- **Mailing address phone:** (307) 682-0233
- **Mailing address fax:** (307) 682-5986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 936 | WY | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020