Organization
BIGHORN PEDIATRIC DENTISTRY
Active
Other names
David G. Bailey
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G BAILEY DDS (DOCTOR/OWNER)
(307) 674-5437
Entity
Organization
Contact information
Practice address
531 COFFEEN AVE, SHERIDAN, WY 82801-5311
(307) 674-5437
(307) 655-8311
Mailing address
531 COFFEEN AVE, SHERIDAN, WY 82801-5311
(307) 674-5437
(307) 655-8311
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132885900
—
WY
Enumeration date
02/15/2023
Last updated
02/15/2023
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