Organization
RIVERTON DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY SALISBURY MENEFEE DDS (OWNER DENTIST)
(307) 857-5200
Entity
Organization
Contact information
Practice address
325 W MAIN, #G, RIVERTON, WY 82501
(307) 856-8660
Mailing address
325 W MAIN, #G, RIVERTON, WY 82501
(307) 856-8660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
981
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303959
BCBS
WY
Enumeration date
02/27/2007
Last updated
08/22/2020
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