Provider Demographics
NPI:1851723860
Name:ASAY, ERIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:ASAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 ALYSSA WAY
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-3866
Mailing Address - Country:US
Mailing Address - Phone:307-421-4465
Mailing Address - Fax:
Practice Address - Street 1:6900 YELLOWTAIL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-6102
Practice Address - Country:US
Practice Address - Phone:307-635-9251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1337122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist