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ABC PEDIATRIC DENTISTRY, LLC
NPI 1972822930
Dentist - Pediatric Dentistry in Gillette, WY

Active since May 28, 2010
610 S 4J CT # B, GILLETTE, WY 82716(801) 842-6971 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abc Pediatric Dentistry, Llc NPPES

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

ABC PEDIATRIC DENTISTRY, LLC (NPI 1972822930) is a healthcare organization registered as a pediatric dentistry in Gillette, Wyoming and active in the NPI registry since May 2010. The organization lists Nathan D Stevenson, Manager, as its authorized official.

NPPES Registry Identity

NPI1972822930
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameABC PEDIATRIC DENTISTRY, LLC
Location Address610 S 4J CT # BGillette, WY 82716-4127
Mailing Address4019 W 12600 S Ste 200Riverton, UT 84096-7406 · (801) 842-6971
Phone(801) 842-6971
Organization SubpartNo
Authorized OfficialNathan D StevensonManager · (801) 842-6971
Enumeration DateMay 28, 2010
✔ NPI 1972822930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
610 S 4J CT # B, Gillette, WY 82716
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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

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 Abc Pediatric Dentistry, LLC's NPI number?

The NPI number for Abc Pediatric Dentistry, LLC is 1972822930. It was assigned to this organization in the NPPES registry on May 28, 2010.

Where is Abc Pediatric Dentistry, LLC located?

Abc Pediatric Dentistry, LLC is located at 610 S 4J Ct # B, Gillette, WY 82716. The listed phone number is (801) 842-6971.

What is Abc Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Abc Pediatric Dentistry, LLC was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.