GILLETTE PEDIATRIC DENTISTRY LLC
NPI 1013289966
Dentist - Pediatric Dentistry in Sheridan, WY

Active since February 07, 2012
433 SHADOW RIDGE BLVD, SHERIDAN, WY 82801(307) 670-8118 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gillette Pediatric Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILLETTE PEDIATRIC DENTISTRY LLC (NPI 1013289966) is a healthcare organization registered as a pediatric dentistry in Sheridan, Wyoming and active in the NPI registry since February 2012. The organization lists David Glenn Bailey, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1013289966
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGILLETTE PEDIATRIC DENTISTRY LLC
Location Address433 SHADOW RIDGE BLVDSheridan, WY 82801-9350
Mailing Address530 Running W Drive, Suite 100Gillette, WY 82718-2003 · (307) 670-8118
Organization SubpartNo
Authorized OfficialDavid Glenn BaileyPediatric Dentist · (307) 670-8118
Enumeration DateFebruary 7, 2012
Last NPPES UpdateJanuary 6, 2017
NPI 1013289966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in WY · 1271
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
433 SHADOW RIDGE BLVD, Sheridan, WY 82801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gillette Pediatric Dentistry LLC's NPI number?

The NPI number for Gillette Pediatric Dentistry LLC is 1013289966. It was assigned to this organization in the NPPES registry on February 7, 2012.

Where is Gillette Pediatric Dentistry LLC located?

Gillette Pediatric Dentistry LLC is located at 433 Shadow Ridge Blvd, Sheridan, WY 82801. The listed phone number is (307) 670-8118.

What is Gillette Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Gillette Pediatric Dentistry LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Gillette Pediatric Dentistry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gillette Pediatric Dentistry LLC was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.