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TETON ORAL AND MAXILLOFACIAL SURGERY
NPI 1740776202
Oral & Maxillofacial Surgery in Jackson, WY

Active since July 09, 2018
1160 ALPINE LN STE 1D, JACKSON, WY 83001(307) 739-8611(307) 739-8613 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2018, Jul 9, 2018 (2 updates tracked since 2018).

About Teton Oral And Maxillofacial Surgery NPPES

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

TETON ORAL AND MAXILLOFACIAL SURGERY (NPI 1740776202) is a healthcare organization registered as an oral & maxillofacial surgery in Jackson, Wyoming and active in the NPI registry since July 2018. The organization lists Bridget Anne Mullen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1740776202
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameTETON ORAL AND MAXILLOFACIAL SURGERY
Location Address1160 ALPINE LN STE 1DJackson, WY 83001
Mailing AddressPo Box 9339Jackson, WY 83002-9339 · (307) 739-8611 · Fax (307) 739-8613
Phone(307) 739-8611
Fax(307) 739-8613
Organization SubpartNo
Authorized OfficialBridget Anne MullenOffice Manager · (307) 690-1513
Enumeration DateJuly 9, 2018
Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration
✔ NPI 1740776202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
1160 ALPINE LN STE 1D, Jackson, WY 83001
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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 Teton Oral And Maxillofacial Surgery's NPI number?

The NPI number for Teton Oral And Maxillofacial Surgery is 1740776202. It was assigned to this organization in the NPPES registry on July 9, 2018.

Where is Teton Oral And Maxillofacial Surgery located?

Teton Oral And Maxillofacial Surgery is located at 1160 Alpine Ln Ste 1D, Jackson, WY 83001. The listed phone number is (307) 739-8611.

What is Teton Oral And Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does Teton Oral And Maxillofacial Surgery accept?

Health plans from Blue Cross Blue Shield of Wyoming list Teton Oral And Maxillofacial Surgery 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 Teton Oral And Maxillofacial Surgery was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.