1. Home
  2. Directory
  3. Wyoming
  4. Kemmerer
  5. Dentist
  6. NPI Profile

DIAMOND G DENTAL
NPI 1205291242
Dentist - General Practice in Kemmerer, WY

Active since December 17, 2015
1702 ANTELOPE STREET, KEMMERER, WY 83101(307) 877-4715 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2015, Dec 17, 2015 (2 updates tracked since 2015).

About Diamond G Dental NPPES

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

DIAMOND G DENTAL (NPI 1205291242) is a healthcare organization registered as a general practice in Kemmerer, Wyoming and active in the NPI registry since December 2015. The organization lists Stephen Brad Grandy, President, as its authorized official.

NPPES Registry Identity

NPI1205291242
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDIAMOND G DENTAL LLC
Location Address1702 ANTELOPE STREETKemmerer, WY 83101-4049
Mailing Address1806 Antelope St Apt DKemmerer, WY 83101-4049 · (307) 877-4715
Phone(307) 877-4715
Organization SubpartNo
Authorized OfficialStephen Brad GrandyPresident · (307) 723-0448
Enumeration DateDecember 17, 2015
Last NPPES UpdateDecember 29, 20152 updates tracked since enumeration
✔ NPI 1205291242 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 · 1386
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.
1702 ANTELOPE STREET, Kemmerer, WY 83101
Open in Google Maps ↗

Other Names 1

Doing Business AsDiamond G Dental

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

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

ROBERT P. TYRRELL, D.D.S.
Dentist (General Practice)
1702 ANTELOPE STREET
KEMMERER, WY 83101
Lincoln County (307) 877-4715

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 Diamond G Dental LLC's NPI number?

The NPI number for Diamond G Dental LLC is 1205291242. It was assigned to this organization in the NPPES registry on December 17, 2015. The provider is doing business as Diamond G Dental.

Where is Diamond G Dental LLC located?

Diamond G Dental LLC is located at 1702 Antelope Street, Kemmerer, WY 83101. The listed phone number is (307) 877-4715.

What is Diamond G Dental LLC's specialty?

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

What insurance does Diamond G Dental LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Diamond G 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 Diamond G Dental LLC was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.