# KEMMERER DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KEMMERER DENTAL ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902946932
- **Authorized official:** DR. KAREN A CHEEK DDS (DIRECT OWNER)
- **Authorized official phone:** (307) 877-6951

## Contact information

- **Practice address:** 100 CANYON ROAD, DIAMONDVILLE, WY 83116-0314
- **Practice address phone:** (307) 877-6951
- **Practice address fax:** (307) 877-4149
- **Mailing address:** PO BOX 314, DIAMONDVILLE, WY 83116-0314
- **Mailing address phone:** (307) 877-6951
- **Mailing address fax:** (307) 877-4149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 799 | WY | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 07/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112357200 | — | WY |