DENTAL CARE OF JACKSON HOLE – Dentist, NPI 1063539963

DENTAL CARE OF JACKSON HOLE is a healthcare provider. based in Jackson, Wyoming. specializing in Dentist. The NPI Number for DENTAL CARE OF JACKSON HOLE is 1063539963

Main info

Organization
Name
DENTAL CARE OF JACKSON HOLE
NPI
1063539963
Phone
(307) 732-2273
Address
610 WEST BROADWAY
Authorized Official
PAULA J RIDGEWAY MANAGING PARTNER DDS
Enumeration Date
23 March 2007
Last Update Date
23 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness90
Years active:19State licenses:0Digital endpoints

Provider Addresses for DENTAL CARE OF JACKSON HOLE

  • 610 WEST BROADWAY

    CENTENNIAL BUILDING

    JACKSON, WY 83002

    Phone: (307) 732-2273

    Fax: (307) 732-1660

    Type: Location

  • P.O. BOX 9340

    JACKSON, WY 830029340

    Phone: (307) 732-2273

    Fax: (307) 732-1660

    Type: Mailing

  • 610 WEST BROADWAY AVE

    SUITE 106

    JACKSON, WY 83001

    Phone: (307) 732-2273

    Fax: (307) 732-1660

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83002)

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Reviews

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Frequently asked questions

What NPI should I save for DENTAL CARE OF JACKSON HOLE?
Save NPI 1063539963 if you need a stable reference for DENTAL CARE OF JACKSON HOLE.
Is DENTAL CARE OF JACKSON HOLE currently active in the NPI registry?
CMS-published data lists DENTAL CARE OF JACKSON HOLE as an active registrant.
Does DENTAL CARE OF JACKSON HOLE list a primary specialty?
If you are matching referrals, note Dentist for DENTAL CARE OF JACKSON HOLE. Clinical services aligned with this taxonomy classification.
What location shows for DENTAL CARE OF JACKSON HOLE?
We surface Jackson, Wyoming for DENTAL CARE OF JACKSON HOLE based on available NPPES addresses.
What if Jackson, Wyoming seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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