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Search › Wyoming › 122300000X

Michael Wine, DDS

NPI 1245353168 · on the registry since 2007

Practice

Address
610 W Broadway Ave
Jackson, WY 83001
Phone
(307) 732-2273
Fax
(307) 732-1660
Organisation at this address
Rj Smiles, Llc
Bingham Endodontics, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
WY, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming