Individual
DR. JONATHAN JAMES MOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1557 BRICE ST., WHEATLAND, WY 82201
(303) 717-5893
Mailing address
1557 BRICE ST., WHEATLAND, WY 82201
(303) 717-5893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1595
WY
1223G0001X
General Practice Dentistry
Primary
8021
CO
Other
Enumeration date
06/16/2005
Last updated
10/26/2021
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