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

NPI Status: Active since July 09, 2018

Contact Information

1160 ALPINE LN STE 1D
JACKSON, WY
ZIP 83001
Phone: (307) 739-8611
Fax: (307) 739-8613

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  • Organization
  • Oral & Maxillofacial Surgery
  • Accepts Insurance

About TETON ORAL AND MAXILLOFACIAL SURGERY

This page provides the complete NPI Profile along with additional information for Teton Oral And Maxillofacial Surgery, a provider established in Jackson, Wyoming operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1740776202 assigned on July 2018. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Teton Oral And Maxillofacial Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Bridget Anne Mullen Rn (Office Manager)

NPI
1740776202
Provider Name
TETON ORAL AND MAXILLOFACIAL SURGERY
Entity Type
Organization
Location Address
1160 ALPINE LN STE 1D JACKSON, WY 83001
Location Phone
(307) 739-8611
Location Fax
(307) 739-8613
Mailing Address
PO BOX 9339 JACKSON, WY 83002
Mailing Phone
(307) 739-8611
Mailing Fax
(307) 739-8613
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2018
Last Update Date
07-26-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIDGET ANNE MULLEN RN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(307) 690-1513

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740776202, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 4 + 7 + 1 + 2 + 2 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1740776202.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740776202, enumerated as an "organization" on July 09, 2018.

The provider is located at 1160 ALPINE LN STE 1D JACKSON, WY 83001 and the phone number is (307) 739-8611.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.