Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TETON DERMATOLOGY LLC
Deactivated OrganizationTETON DERMATOLOGY LLC is a Dermatology organization located in JACKSON, Wyoming. NPI 1194044750 is deactivated in the NPPES registry. Verify at CMS.
Dermatology · JACKSON, WY
This NPI has been deactivated.
The record was deactivated on August 23, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1194044750
- Provider Type
- Organization
- NPI Issued
- May 21, 2010 (11.257534246575 yrs)
- Last Updated
- Sep 18, 2024
- Deactivated
- Aug 23, 2021
Practice Information
- Address
-
984 WEST BROADWAYSUITE 4JACKSON, WY, 830010000Browse WY providers · Browse ZIP 83001
- Phone
- 3077341800
- Fax
- 3077345012
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Organizations in JACKSON, WY
| Name | NPI |
|---|---|
| ADVANCED DERMATOLOGY OF WYOMING, INC | 1427408319 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.