# SIGNATURE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Signature Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811755770
- **Authorized official:** DR. ADAM M MILMONT (DDS)
- **Authorized official phone:** (307) 234-3890

## Contact information

- **Practice address:** 1201 S ELK ST, CASPER, WY 82601-4009
- **Practice address phone:** (307) 234-3890
- **Mailing address:** 1201 S ELK ST, CASPER, WY 82601-4009
- **Mailing address phone:** (307) 234-3890

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024
