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PINEDALE DENTAL
NPI 1033870779
Dentist - General Practice in Pinedale, WY

Active since January 05, 2022
33 FREMONT LAKE RD, PINEDALE, WY 82941(307) 367-3700(307) 312-2848 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinedale Dental NPPES

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

PINEDALE DENTAL (NPI 1033870779) is a healthcare organization registered as a general practice in Pinedale, Wyoming and active in the NPI registry since January 2022. The organization lists Alison Petersen, Receptionist, as its authorized official.

NPPES Registry Identity

NPI1033870779
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePINEDALE DENTAL
Location Address33 FREMONT LAKE RDPinedale, WY 82941-5213
Mailing AddressPo Box 1190Pinedale, WY 82941-1190 · (307) 367-3700 · Fax (307) 312-2848
Phone(307) 367-3700
Fax(307) 312-2848
Organization SubpartNo
Authorized OfficialAlison PetersenReceptionist · (307) 367-3700
Enumeration DateJanuary 5, 2022
NPPES CertifiedJanuary 5, 2022
✔ NPI 1033870779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
33 FREMONT LAKE RD, Pinedale, WY 82941
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Other Identifiers 2

Medicaid207753100WY
Medicaid113694100WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. KEVIN L KUNARD DDS
Dentist (General Practice)
33 FREMONT LAKE RD
PINEDALE, WY 82941
Sublette County (307) 367-3700
DR. ERIC SHULTZ D. M. D
Dentist (General Practice)
33 FREMONT LAKE RD
PINEDALE, WY 82941
Sublette County (307) 367-3700

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 Pinedale Dental's NPI number?

The NPI number for Pinedale Dental is 1033870779. It was assigned to this organization in the NPPES registry on January 5, 2022.

Where is Pinedale Dental located?

Pinedale Dental is located at 33 Fremont Lake Rd, Pinedale, WY 82941. The listed phone number is (307) 367-3700.

What is Pinedale Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Pinedale Dental was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.