Organization
RJ SMILES, LLC
Active
Other names
Joshua G. Wagner DDS PC, DENTAL CARE OF JACKSON HOLE
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA J RIDGEWAY DDS (MANAGING PARTNER)
(307) 732-2273
Entity
Organization
Contact information
Practice address
610 WEST BROADWAY AVE, SUITE 106, JACKSON, WY 83001
(307) 732-2273
(307) 732-1660
Mailing address
P.O. BOX 9340, JACKSON, WY 83002-9340
(307) 732-2273
(307) 732-1660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119801700
—
WY
Enumeration date
03/23/2007
Last updated
10/23/2025
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