Individual
JOHN BENNETT LUDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
405 E 19TH ST, CHEYENNE, WY 82001
(307) 632-6665
(307) 637-6733
Mailing address
8007 KEPLER DR, CHEYENNE, WY 82009
(307) 635-1341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
939
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303472
BLUE CROSS BLUE SHIELD
WY
01
—
811460
UNITED CONCORDIA
WY
Enumeration date
04/26/2007
Last updated
07/08/2007
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