Organization
BIGHORN ORTHODONTICS LLC
Active
Organization
BIGHORN ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH G. MORTENSEN DDS, MSD (OWNER)
(801) 831-2662
Entity
Organization
Contact information
Practice address
642 VAL VISTA ST, SUITE B, SHERIDAN, WY 82801-3659
(307) 672-6917
Mailing address
642 VAL VISTA ST, SUITE B, SHERIDAN, WY 82801-3659
(307) 672-6917
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1344
WY
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up