DR. MICHAEL J WINE DDS
NPI 1245353168
Dentist in Jackson, WY

Q: What is Michael Wine's NPI number?

The NPI number for Michael Wine is 1245353168. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Q: What is Michael Wine's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Wine was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 07, 2007

610 W BROADWAY AVE, JACKSON, WY 83001(307) 732-2273(307) 732-1660 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael J Wine Dds NPPES

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

DR. MICHAEL J WINE DDS (NPI 1245353168) is an individual dentist in Jackson, Wyoming, licensed in Wyoming (1325) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1245353168

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MICHAEL J WINECredential: DDS

Location Address610 W BROADWAY AVEJackson, WY 83001-8213

Mailing Address6797 Shire Ridge DrVictor, ID 83455-5036 · (614) 648-6657

Phone(307) 732-2273

Fax(307) 732-1660

Sole ProprietorNo

Enumeration DateApril 7, 2007

Last NPPES UpdateSeptember 1, 2016

✔ NPI 1245353168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in WY · 1325✔ Licensed in ID · D 4424

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

610 W BROADWAY AVE, Jackson, WY 83001

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Other Providers at the Same Location NPPES 10

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

DR. JONATHAN ANDREW FIGG MD

Internal Medicine

610 W BROADWAY AVE, SUITE 108
JACKSON, WY 83001

Teton County (307) 264-5828

DUSTIN RIFKIN LCSW

Social Worker (Clinical)

610 W BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 733-3908

DANIELLE CHRISTENSEN PEER SPECIALIST

Social Worker

610 W BROADWAY AVE, STE L1
JACKSON, WY 83001

Teton County (307) 733-3908

RYAN BURKE LPC

Counselor (Addiction (Substance Use Disorder))

610 W BROADWAY AVE, STE L1
JACKSON, WY 83001

Teton County (307) 733-3908

MRS. JULIE ELLEDGE LMFT182

Marriage & Family Therapist

610 W BROADWAY AVE, 109
JACKSON, WY 83001

Teton County (307) 200-8777

MS. ALLISON WALSH-DAY LCSW, MAC

Social Worker (Clinical)

610 W BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 733-3908

MISS ANAHI MORILLON-JIMENEZ MSW, PCSW

Social Worker (Clinical)

610 W BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 413-2177

DR. BRAIDEN DEMAR JORGENSEN DDS

Dentist (General Practice)

610 W BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 732-2273

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 Michael Wine's NPI number?

The NPI number for Michael Wine is 1245353168. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Michael Wine located?

Michael Wine practices at 610 W Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 732-2273.

What is Michael Wine's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Michael Wine was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.