Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wyoming Cosmetic and Family Dental

Organization Dentist · NPI 1194205401

Wyoming Cosmetic and Family Dental provides Dentist services in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2018.

Licensed in
WY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

4620 Grandview Ave Ste #101
Cheyenne, WY 82009
Phone: (307) 635-2419
Fax: (307) 772-3443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1199 (WY)
Dentist Taxonomy 122300000X · Licence 1490 (WY)

Record details

NPI number1194205401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Whiting — Owner · (307) 635-2419
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 16, 2018
Mailing address4620 Grandview Ave, Suite 101, Cheyenne, WY 82009

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