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EVANSTON DENTAL,LLC
NPI 1023863768
Clinic/Center - Dental in Evanston, WY

Active since April 17, 2024
1425 HIGHWAY 150 S, EVANSTON, WY 82930(307) 789-0500 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evanston Dental,llc NPPES

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

EVANSTON DENTAL,LLC (NPI 1023863768) is a healthcare organization registered as a dental in Evanston, Wyoming and active in the NPI registry since April 2024. The organization lists Micah Daniel Himmerich, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1023863768
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEVANSTON DENTAL,LLC
Location Address1425 HIGHWAY 150 SEvanston, WY 82930-5377
Mailing Address1425 Highway 150 SEvanston, WY 82930-5377 · (307) 789-0500
Phone(307) 789-0500
Organization SubpartNo
Authorized OfficialMicah Daniel HimmerichOwner/member · (307) 789-0500
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1023863768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1425 HIGHWAY 150 S, Evanston, WY 82930
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AILEEN CANEN
Case Manager/Care Coordinator
1425 HIGHWAY 150 S, STE 2
EVANSTON, WY 82930
Uinta County (307) 789-0664
DR. DEE DILLREE D.C.
Chiropractor
1425 HIGHWAY 150 S, STE 2
EVANSTON, WY 82930
Uinta County (307) 789-4957
MS. SYDNEY M. PERATE M.S
Case Manager/Care Coordinator
1425 HIGHWAY 150 S, SUITE 2
EVANSTON, WY 82930
Uinta County (307) 789-0664
TIM FLOYD
Case Management
1425 HIGHWAY 150 S
EVANSTON, WY 82930
Uinta County (307) 789-0664
MARIA STEPHEN
Case Management
1425 HIGHWAY 150 S
EVANSTON, WY 82930
Uinta County (307) 789-0955
MRS. ALYSSA GUNN
Case Manager/Care Coordinator
1425 HIGHWAY 150 S, SUITE 2
EVANSTON, WY 82930
Uinta County (307) 789-0664
BRIDGES HABILITATION SERVICES INC.
Day Training, Developmentally Disabled Services
1425 HIGHWAY 150 S, STE 2
EVANSTON, WY 82930
Uinta County (307) 789-0664
HEATHER AILEEN RIPLEY
Case Manager/Care Coordinator
1425 HIGHWAY 150 S, STE 2
EVANSTON, WY 82930
Uinta County (307) 789-0664

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 Evanston Dental,llc's NPI number?

The NPI number for Evanston Dental,llc is 1023863768. It was assigned to this organization in the NPPES registry on April 17, 2024.

Where is Evanston Dental,llc located?

Evanston Dental,llc is located at 1425 Highway 150 S, Evanston, WY 82930. The listed phone number is (307) 789-0500.

What is Evanston Dental,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Evanston Dental,llc accept?

Health plans from Blue Cross Blue Shield of Wyoming list Evanston Dental,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 Evanston Dental,llc was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.