Organization
ARROWHEAD DENTAL -AD, LLC
Active
Other names
2BrewersandaCanuckDental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MORGAN DDS (OWNER)
(307) 789-5210
Entity
Organization
Contact information
Practice address
50 ARROWHEAD DR, EVANSTON, WY 82930-9243
(307) 789-5210
Mailing address
50 ARROWHEAD DR, EVANSTON, WY 82930-9243
(307) 789-5210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119553100
—
WY
05
—
125569000
—
WY
05
—
140937900
—
WY
Enumeration date
08/19/2021
Last updated
08/05/2025
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