Organization
MERIDIAN DENTAL IMPLANTS & ORAL SURGERY LLC
Active
Organization
MERIDIAN DENTAL IMPLANTS & ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENN HERITAGE (CREDENTIALING MANAGER)
(402) 805-4516
Entity
Organization
Contact information
Practice address
1443 BECK AVE, CODY, WY 82414-3730
(402) 805-4516
Mailing address
1443 BECK AVE, CODY, WY 82414-3730
(402) 805-4516
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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