Organization
CREEKSIDE DENTAL LLC
Active
Other names
McColley Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROLLIN MCCOLLEY D.D.S (OWNER/DENTIST)
(307) 674-9222
Entity
Organization
Contact information
Practice address
642 VAL VISTA ST, STUITE #A, SHERIDAN, WY 82801-3659
(307) 674-9222
(307) 674-1765
Mailing address
642 VAL VISTA ST, STUITE #A, SHERIDAN, WY 82801-3659
(307) 674-9222
(307) 674-1765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
12/31/2014
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