Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLUBHOUSE PEDIATRIC DENTISTRY OF JACKSON
Active OrganizationCLUBHOUSE PEDIATRIC DENTISTRY OF JACKSON is a Pediatric Dentistry organization located in JACKSON HOLE, Wyoming. NPI 1942775960 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · JACKSON HOLE, WY
Registration Details
- NPI Number
- 1942775960
- Provider Type
- Organization
- NPI Issued
- Oct 5, 2018 (7.8768408434836 yrs)
- Last Updated
- Oct 5, 2018
Practice Information
- Address
-
1130 US-89JACKSON HOLE, WY, 830018701Browse WY providers · Browse ZIP 83001
- Phone
- 3077335439
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.