ALPINE DENITSTRY
NPI 1619503349
Clinic/Center - Dental in Jackson, WY

Active since March 13, 2020
945 W BROADWAY AVE APT 201, JACKSON, WY 83001(307) 734-5200(307) 733-2922 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alpine Denitstry NPPES

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

ALPINE DENITSTRY (NPI 1619503349) is a healthcare organization registered as a dental in Jackson, Wyoming and active in the NPI registry since March 2020. The organization lists Kiffin Hansen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619503349
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameALPINE DENITSTRY
Location Address945 W BROADWAY AVE APT 201Jackson, WY 83001-8217
Mailing AddressPo Box 11779Jackson, WY 83002-1779 · (307) 734-5200 · Fax (307) 733-2922
Fax(307) 733-2922
Organization SubpartNo
Authorized OfficialKiffin HansenOffice Manager · (307) 734-5200
Enumeration DateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
NPI 1619503349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
945 W BROADWAY AVE APT 201, Jackson, WY 83001

Other Names 1

Other NameTyler Bergien, Dds

Other Identifiers 1

Other1669683025WY · Npi Type 1

Other Providers at the Same Location NPPES

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

Dentist
945 W BROADWAY AVE APT 201
JACKSON, WY 83001

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 Alpine Denitstry's NPI number?

The NPI number for Alpine Denitstry is 1619503349. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is also known as Tyler Bergien, DDS.

Where is Alpine Denitstry located?

Alpine Denitstry is located at 945 W Broadway Ave Apt 201, Jackson, WY 83001. The listed phone number is (307) 734-5200.

What is Alpine Denitstry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Alpine Denitstry was last updated on March 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.