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BLUE TOOTH DENTAL INC.
NPI 1063664795
Dentist - General Practice in Evanston, WY

Active since October 13, 2008
545 CHEYENNE DR, SUITE C, EVANSTON, WY 82930(307) 789-9034(307) 789-9065 Get Directions Write a Review

NPPES record last updated: October 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Tooth Dental Inc. NPPES

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

BLUE TOOTH DENTAL INC. (NPI 1063664795) is a healthcare organization registered as a general practice in Evanston, Wyoming and active in the NPI registry since October 2008. The organization lists Sherry Hancock, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063664795
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLUE TOOTH DENTAL INC.
Location Address545 CHEYENNE DR, SUITE CEvanston, WY 82930-5323
Mailing Address545 Cheyenne Dr, Suite CEvanston, WY 82930-5323 · (307) 789-9034 · Fax (307) 789-9065
Phone(307) 789-9034
Fax(307) 789-9065
Organization SubpartNo
Authorized OfficialSherry HancockOffice Manager · (307) 789-9034
Enumeration DateOctober 13, 2008
✔ NPI 1063664795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WY · 715
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.
545 CHEYENNE DR, Evanston, WY 82930
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Other Identifiers 1

Medicare PIN118464400WY

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 3

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

DEVIN V. NELSON DMD
Dentist (General Practice)
545 CHEYENNE DR, SUITE C
EVANSTON, WY 82930
Uinta County (307) 789-9034
DR. RANDALL G HANCOCK DMD
Dentist
545 CHEYENNE DR, SUITE C
EVANSTON, WY 82930
Uinta County (307) 789-9034
MR. TODD ERIC HOOVER DC
Chiropractor
545 CHEYENNE DR, SUITE A
EVANSTON, WY 82930
Uinta County (307) 789-0043

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 Blue Tooth Dental Inc.'s NPI number?

The NPI number for Blue Tooth Dental Inc. is 1063664795. It was assigned to this organization in the NPPES registry on October 13, 2008.

Where is Blue Tooth Dental Inc. located?

Blue Tooth Dental Inc. is located at 545 Cheyenne Dr Suite C, Evanston, WY 82930. The listed phone number is (307) 789-9034.

What is Blue Tooth Dental Inc.'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 Blue Tooth Dental Inc. was last updated on October 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.