Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANE ST. JOHN, M.D.
ActiveDANE ST. JOHN, M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CODY, Wyoming. NPI 1689883589 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CODY, WY
Registration Details
- NPI Number
- 1689883589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.258675267555 yrs)
- Last Updated
- Apr 12, 2013
- Licenses
-
27461 (AL)9197A (WY)
Practice Information
- Address
-
707 SHERIDAN AVECODY, WY, 82414Browse WY providers · Browse ZIP 82414
- Phone
- 3075782500
- Fax
- 3075782492
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
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.