1. Home
  2. Directory
  3. Wyoming
  4. Thayne
  5. Dentist
  6. NPI Profile

STAR VALLEY ORAL SURGERY
NPI 1821610957
Dentist - Oral and Maxillofacial Surgery in Thayne, WY

Active since May 12, 2020
487 N MAIN, SUITE B, THAYNE, WY 83127(307) 883-4222(307) 883-4222 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Star Valley Oral Surgery NPPES

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

STAR VALLEY ORAL SURGERY (NPI 1821610957) is a healthcare organization registered as an oral and maxillofacial surgery in Thayne, Wyoming and active in the NPI registry since May 2020. The organization lists Mark Weston Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1821610957
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSTAR VALLEY ORAL SURGERY
Location Address487 N MAIN, SUITE BThayne, WY 83127
Mailing AddressPo Box 1365Thayne, WY 83127-1365 · (307) 883-4222 · Fax (307) 883-4223
Phone(307) 883-4222
Fax(307) 883-4222
Organization SubpartNo
Authorized OfficialMark Weston JohnsonPresident · (307) 883-4222
Enumeration DateMay 12, 2020
NPPES CertifiedMay 12, 2020
✔ NPI 1821610957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
487 N MAIN, Thayne, WY 83127
Open in Google Maps ↗

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

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

MARK W JOHNSON DMD
Dentist (General Practice)
487 N MAIN, SUITE B
THAYNE, WY 83127
Lincoln County (307) 883-4222

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 Star Valley Oral Surgery's NPI number?

The NPI number for Star Valley Oral Surgery is 1821610957. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Star Valley Oral Surgery located?

Star Valley Oral Surgery is located at 487 N Main Suite B, Thayne, WY 83127. The listed phone number is (307) 883-4222.

What is Star Valley Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Star Valley Oral Surgery was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.