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SYNERGY DENTAL CENTER, P.C.
NPI 1619486784
Dentist in Gillette, WY

Active since September 21, 2017CLIA 53D2154645 · Waiver
501 W LAKEWAY RD, GILLETTE, WY 82718(307) 682-3100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 21, 2017 (2 updates tracked since 2017).

About Synergy Dental Center, P.c. NPPES

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

SYNERGY DENTAL CENTER, P.C. (NPI 1619486784) is a healthcare organization registered as a dentist in Gillette, Wyoming and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Elizabeth Deighton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619486784
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSYNERGY DENTAL CENTER, P.C.
Location Address501 W LAKEWAY RDGillette, WY 82718-6146
Mailing Address501 W Lakeway RdGillette, WY 82718-6146 · (307) 682-3100
Phone(307) 682-3100
Organization SubpartNo
Authorized OfficialElizabeth DeightonOffice Manager · (307) 682-3100
Enumeration DateSeptember 21, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619486784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WY · 1176
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.
501 W LAKEWAY RD, Gillette, WY 82718
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2154645

Synergy Dental · Gillette, WY
Active · expires Sep 16, 2026
CLIA Number53D2154645
Laboratory TypeDental Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorDavid Porter
Laboratory Phone(307) 682-3100
Laboratory LocationSynergy Dental501 W Lakeway Rd, Gillette, WY 82718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JACOB EUGENE BELYEU I C.M.T
Massage Therapist
501 W LAKEWAY RD, D
GILLETTE, WY 82718
Campbell County (307) 363-3519

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 Synergy Dental Center, P.C.'s NPI number?

The NPI number for Synergy Dental Center, P.C. is 1619486784. It was assigned to this organization in the NPPES registry on September 21, 2017.

Where is Synergy Dental Center, P.C. located?

Synergy Dental Center, P.C. is located at 501 W Lakeway Rd, Gillette, WY 82718. The listed phone number is (307) 682-3100.

What is Synergy Dental Center, P.C.'s specialty?

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

Does Synergy Dental Center, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2154645) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Synergy Dental Center, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.