Braiden Demar Jorgensen, DDS

General Practice Dentistry · Jackson, WY

Individual Active NPI

NPI number 1649847310

Practice location

610 W Broadway Ave
Jackson, WY 83001-8213
Phone
(307) 732-2273

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NPI record

NPI
1649847310
Entity type
Individual (Type 1)
Enumeration date
June 9, 2021
Last updated
June 9, 2021
Certified
June 9, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1585 WY

Mailing address

PO Box 71
Tetonia, ID 83452-0071
Phone
(208) 399-2723

About Dr. Jorgensen

Braiden Demar Jorgensen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 610 W Broadway Ave, Jackson, WY 83001-8213. The NPI number 1649847310 was assigned on June 9, 2021 and the record was last updated on June 9, 2021.

Dr. Jorgensen lists a license in the registry: #1585 (WY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Braiden Demar Jorgensen, DDS?

The NPI number is 1649847310.

What is the phone number of Dr. Jorgensen?

The phone number listed for the practice location is (307) 732-2273.

Where is Dr. Jorgensen located?

610 W Broadway Ave, Jackson, WY 83001-8213.

What is the taxonomy code for Dr. Jorgensen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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