# BIGHORN DENTAL CLINIC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891127825
- **Authorized official:** DR. CLINT LEE D.D.S. (DENTIST)
- **Authorized official phone:** (307) 686-1567

## Contact information

- **Practice address:** 4403 RUNNING W. DRIVE, GILLETTE, WY 82718
- **Practice address phone:** (307) 686-1567
- **Practice address fax:** (307) 686-2805
- **Mailing address:** 4403 RUNNING W. DRIVE, GILLETTE, WY 82718
- **Mailing address phone:** (307) 686-1567
- **Mailing address fax:** (307) 686-2805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1175 | WY | Yes |
| 122300000X | Dentist | 1345 | WY | — |

## Other

- **Enumeration date:** 08/01/2013
- **Last updated:** 04/12/2019