Organization
COTANT FAMILY DENTISTRY, P.C.
Active
Other names
Bighorn Dental, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JEROME COTANT DDS (OWNER DENTIST)
(307) 684-2733
Entity
Organization
Contact information
Practice address
112 HIGH STREET, BUFFALO, WY 82834
(307) 684-2733
(307) 684-2437
Mailing address
PO BOX 126, 112 HIGH STREET, BUFFALO, WY 82834
(307) 684-2733
(307) 684-2437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1129
WY
124Q00000X
Dental Hygienist
807
WY
124Q00000X
Dental Hygienist
841
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328800
—
WY
05
—
121329600
—
WY
Enumeration date
12/08/2006
Last updated
03/25/2015
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