Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL J WINE, DDS
ActiveDR. MICHAEL J WINE, DDS is a Dentist healthcare provider located in JACKSON, Wyoming. NPI 1245353168 is currently active in the NPPES registry. Verify at CMS.
Dentist · JACKSON, WY
Registration Details
- NPI Number
- 1245353168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2007 (19.315549104632 yrs)
- Last Updated
- Sep 1, 2016
- Licenses
-
1325 (WY)D 4424 (ID)
Practice Information
- Address
-
610 W BROADWAY AVEJACKSON, WY, 830018213Browse WY providers · Browse ZIP 83001
- Phone
- 3077322273
- Fax
- 3077321660
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| JAMES L DERRICO | DDS, LLC | 1891801585 |
| DR. SCOTT COBURN LARSEN | DMD | 1346343373 |
| DR. ALICE EVE L RICHTER | DDS | 1730284266 |
| DR. CAROL EDWARDS OWENS | — | 1710176789 |
| DR. KURT LOWER LINFORD | D.D.S | 1881971679 |
| MRS. BRITTNEY ESPINOZA | DDS | 1992059653 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.