Individual
PAULA JO RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
610 WEST BROADWAY, JACKSON, WY 83001
(307) 732-2273
Mailing address
PO BOX 9340, JACKSON, WY 83002-9340
(307) 732-2273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1117
WY
Other
Enumeration date
03/16/2007
Last updated
09/23/2025
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