Dr. Michael Stern
Oral and Maxillofacial Surgeon
1160 Alpine Ln Suite 1d
Jackson
, Wyoming 83001
Dr. Michael Stern
Oral and Maxillofacial Surgeon
1160 Alpine Ln Suite 1d
Jackson
, Wyoming 83001
(307) 739-8613
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Stern
- Po Box 9339
- Jackson, WY
- Zip : 83002-9339
- Fax : (307) 739-8613
- Phone : (307) 739-8611
Second Address
- Dr. Michael Stern
- 1160 Alpine Ln Suite 1d
- Jackson, WY
- Zip : 83001
- Fax : (307) 739-8613
- Phone : (307) 739-8611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 1037 | WY |
National Provider Identifier
| NPI | 1083852149 |
|---|---|
| Provider Name | Dr. Michael Stern |
| First Address | Jackson, WY 83002-9339 |
| Second Address | Jackson, WY 83001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2009 |
| Last Update Date | 28/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 119386400 | (05) | WY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.