HAL QUIST, DDS (SHERIDAN WYO DENTAL) NPI 1902147275

Dentist (General Practice) in Sheridan, WY

Organization Dentist General Practice

About HAL QUIST, DDS (SHERIDAN WYO DENTAL)

Hal Quist, Dds (sheridan Wyo Dental) is a provider established in Sheridan, Wyoming specializing in dentist. The NPI number of Hal Quist, Dds (sheridan Wyo Dental) is 1902147275 and was assigned on March 2013. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Hal Quist, Dds (sheridan Wyo Dental) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Hal Quist, Dds. The authorized official of this NPI record is Mrs. Pat Quist (Office Manager)

NPI

1902147275

Provider NameHAL QUIST, DDS (SHERIDAN WYO DENTAL)
Provider Location Address2 N MAIN ST STE 405 SHERIDAN, WY 82801
Provider Mailing Address2 N MAIN ST STE 405 SHERIDAN, WY 82801
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHAL QUIST, DDS
Other Name TypeFormer Legal Business Name (4)
Enumeration Date03-11-2013
Last Update Date03-11-2013

Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

HAL QUIST, DDS
2 N MAIN ST
STE 405
SHERIDAN, WY
ZIP 82801
Phone: (307) 672-7439

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Mailing Address

HAL QUIST, DDS
2 N MAIN ST
STE 405
SHERIDAN, WY
ZIP 82801
Phone: (307) 672-7439

Authorized Official

Authorized Official NameMRS. PAT QUIST
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(307) 672-2328

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
106690100MEDICAID (05)WY

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104963768DR. HAROLD QUIST JR. DDS
Individual
Dentist (General Practice)2 N MAIN ST STE 405
SHERIDAN, WY 82801
(307) 672-7439
1861447716DR. JESSICA SHEA RICCHIO D.C.
Individual
Chiropractor2 N MAIN ST SUITE 201
SHERIDAN, WY 82801
(307) 674-6655

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.