Provider Demographics
NPI:1184707846
Name:ARNIE G. SYBRANT DDS, PC
Entity type:Organization
Organization Name:ARNIE G. SYBRANT DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ARNIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:SYBRANT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:307-235-8926
Mailing Address - Street 1:843 S CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-3730
Mailing Address - Country:US
Mailing Address - Phone:307-235-8926
Mailing Address - Fax:307-237-8433
Practice Address - Street 1:843 S CENTER ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-3730
Practice Address - Country:US
Practice Address - Phone:307-235-8926
Practice Address - Fax:307-237-8433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY7271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty