CASPER MOUNTAIN DENTAL DBA ADVANCED FAMILY DENTAL
NPI 1164147666
Dentist - General Practice in Casper, WY

Active since October 06, 2022
1431 S. BEVERLY STREET, CASPER, WY 82609(307) 265-5334(307) 265-5336 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Casper Mountain Dental Dba Advanced Family Dental NPPES

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

CASPER MOUNTAIN DENTAL DBA ADVANCED FAMILY DENTAL (NPI 1164147666) is a healthcare organization registered as a general practice in Casper, Wyoming and active in the NPI registry since October 2022. The organization lists Aaron Larsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1164147666
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCASPER MOUNTAIN DENTAL DBA ADVANCED FAMILY DENTAL
Location Address1431 S. BEVERLY STREETCasper, WY 82609
Mailing Address1431 S. Beverly StreetCasper, WY 82609 · (307) 265-5334 · Fax (307) 265-5336
Fax(307) 265-5336
Organization SubpartYesParent: Casper Mountain Dental
Authorized OfficialAaron LarsenOwner · (307) 259-0058
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
NPI 1164147666 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.
1431 S. BEVERLY STREET, Casper, WY 82609

Other Names 1

Other NameCasper Mountain Dental Dba Glenrock Family Dental

Other Identifiers 1

Medicaid131751200WY

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

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 Casper Mountain Dental Dba Advanced Family Dental's NPI number?

The NPI number for Casper Mountain Dental Dba Advanced Family Dental is 1164147666. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is also known as Casper Mountain Dental dba Glenrock Family Dental.

Where is Casper Mountain Dental Dba Advanced Family Dental located?

Casper Mountain Dental Dba Advanced Family Dental is located at 1431 S. Beverly Street, Casper, WY 82609. The listed phone number is (307) 265-5334.

What is Casper Mountain Dental Dba Advanced Family 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 Casper Mountain Dental Dba Advanced Family Dental was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.