Dr. Michael J Wine is a Jackson, Wyoming based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Michael J Wine is 1325 for Dentistry in Wyoming. His current practice location is 610 W Broadway Ave, Jackson. Patients can reach him at 307-732-2273.
Dr. Michael J Wine is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Michael J Wine speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Michael J Wine
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
610 W Broadway Ave, Jackson, Wyoming, 83001-8213
Phone:
307-732-2273
Fax:
307-732-1660
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1245353168
NPI Enumeration Date:
07 Apr, 2007
NPI Last Update On:
01 Sep, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael J Wine are as mentioned below.
License Number
Specialization
State
Status
1325
Dentistry
Wyoming
Primary
D 4424
Dentistry
Idaho
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6797 Shire Ridge Dr, Victor, Idaho
Zip:
83455-5036
Phone Number:
614-648-6657
Patients can reach Dr. Michael J Wine at 610 W Broadway Ave, Jackson, Wyoming or can call to book an appointment on 307-732-2273. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.