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General NPI Number Information
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NPI Number | 1356265284
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Entity Type | Organization
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Legal Business Name | MNM WYO DENTISTRY LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1110 S GREELEY HWY
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City | CHEYENNE
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State | WY
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Zip | 82007-3037
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Country | US
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Telephone | 307-306-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 3806 EDISON AVE
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City | CHEYENNE
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State | WY
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Zip | 82009-5581
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Country | US
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Telephone | 307-254-4238
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARSHALL NEWELL MCARTHUR
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Credential | DDS
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Telephone | 307-254-4238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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