Organization
SOUTHERN WYOMING PERIODONTICS LLC
Active
Parent organization
NORTHERN COLORADO PERIODONTICS
Other names
Northern Colorado Periodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN COLORADO PERIODONTICS
Authorized official
DR. JESSICA ALLEN DMD, MSD (OWNER DOCTOR)
(307) 423-0325
Entity
Organization
Contact information
Practice address
7010 YELLOWTAIL RD STE 200, CHEYENNE, WY 82009-6113
(307) 423-0325
(307) 241-5357
Mailing address
7010 YELLOWTAIL RD STE 200, CHEYENNE, WY 82009-6113
(307) 423-0325
(307) 241-5357
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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