Individual
DR. JASON L BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1401 AIRPORT PKWY, 140, CHEYENNE, WY 82001-1518
(307) 637-8090
(307) 772-3327
Mailing address
1401 AIRPORT PKWY, 140, CHEYENNE, WY 82001-1518
(307) 637-8090
(307) 772-3327
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
999
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217704
—
WY
Enumeration date
01/12/2006
Last updated
07/09/2007
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