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EAGLE SUMMIT DENTAL CLINIC, INC
NPI 1457631558
Dentist - General Practice in Buffalo, WY

Active since August 19, 2011
1001 EAGLE VIEW DR, BUFFALO, WY 82834(307) 684-0119(307) 684-0120 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eagle Summit Dental Clinic, Inc NPPES

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

EAGLE SUMMIT DENTAL CLINIC, INC (NPI 1457631558) is a healthcare organization registered as a general practice in Buffalo, Wyoming and active in the NPI registry since August 2011. The organization lists Monica Burridge, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457631558
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAGLE SUMMIT DENTAL CLINIC, INC
Location Address1001 EAGLE VIEW DRBuffalo, WY 82834-1422
Mailing Address1001 Eagle View DrBuffalo, WY 82834-1422 · (307) 684-0119 · Fax (307) 684-0120
Phone(307) 684-0119
Fax(307) 684-0120
Organization SubpartNo
Authorized OfficialMonica BurridgeOffice Manager · (307) 684-0119
Enumeration DateAugust 19, 2011
✔ NPI 1457631558 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.
1001 EAGLE VIEW DR, Buffalo, WY 82834
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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 2

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

DR. THALES CHRISTIAN HASKELL DDS
Dentist (General Practice)
1001 EAGLE VIEW DR
BUFFALO, WY 82834
Johnson County (307) 684-0119
DR. JAMES JOSEPH SHUBERT DMD
Dentist
1001 EAGLE VIEW DR
BUFFALO, WY 82834
Johnson County (307) 684-9627

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 Eagle Summit Dental Clinic, Inc's NPI number?

The NPI number for Eagle Summit Dental Clinic, Inc is 1457631558. It was assigned to this organization in the NPPES registry on August 19, 2011.

Where is Eagle Summit Dental Clinic, Inc located?

Eagle Summit Dental Clinic, Inc is located at 1001 Eagle View Dr, Buffalo, WY 82834. The listed phone number is (307) 684-0119.

What is Eagle Summit Dental Clinic, 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 Eagle Summit Dental Clinic, Inc was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.