Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael J Wine, DDS

Individual provider Dentist · NPI 1245353168

Dr. Michael J Wine, DDS is a Dentist in Jackson, Wyoming. Licensed in Idaho and Wyoming. Registered with an NPI since 2007.

Licensed in
ID, WY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

610 W Broadway Ave
Jackson, WY 83001-8213
Phone: (307) 732-2273
Fax: (307) 732-1660
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1325 (WY)
Dentist Taxonomy 122300000X · Licence D 4424 (ID)

Record details

NPI number1245353168
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 7, 2007
Last updated in NPPESSeptember 1, 2016

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