Individual
DR. JAMES GARRY LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 SOUTH WASHINGTON ST., AFTON, WY 83110-1709
(307) 885-4337
(307) 885-4334
Mailing address
800 SOUTH WASHINGTON ST., 800 SOUTH WASHINGTON STREET, AFTON, WY 83110
(307) 885-4337
(307) 885-4334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
910
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112487100
—
WY
Enumeration date
11/16/2006
Last updated
05/03/2017
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