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TETON ORAL & MAXILLOFACIAL SURGERY
NPI 1164430971
Oral & Maxillofacial Surgery in Jackson, WY

Active since August 04, 2006
1160 ALPINE LANE, #1D, JACKSON, WY 83002(307) 739-8611(307) 739-8613 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teton Oral & Maxillofacial Surgery NPPES

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

TETON ORAL & MAXILLOFACIAL SURGERY (NPI 1164430971) is a healthcare organization registered as an oral & maxillofacial surgery in Jackson, Wyoming and active in the NPI registry since August 2006. The organization lists Michael Stern, President, as its authorized official.

NPPES Registry Identity

NPI1164430971
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameTETON ORAL & MAXILLOFACIAL SURGERY
Location Address1160 ALPINE LANE, #1DJackson, WY 83002
Mailing AddressPo Box 9339Jackson, WY 83002-9339 · (307) 739-8611 · Fax (307) 739-8613
Phone(307) 739-8611
Fax(307) 739-8613
Organization SubpartNo
Authorized OfficialMichael SternPresident · (307) 739-8611
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 26, 2018
✔ NPI 1164430971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
1160 ALPINE LANE, Jackson, WY 83002
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Other Identifiers 1

Medicaid119386400WY

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

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 Teton Oral & Maxillofacial Surgery's NPI number?

The NPI number for Teton Oral & Maxillofacial Surgery is 1164430971. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Teton Oral & Maxillofacial Surgery located?

Teton Oral & Maxillofacial Surgery is located at 1160 Alpine Lane #1d, Jackson, WY 83002. The listed phone number is (307) 739-8611.

What is Teton Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Teton Oral & Maxillofacial Surgery was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.