Provider Demographics
NPI:1134410756
Name:TONSO, ERICA CHRISTINE (DDS)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:CHRISTINE
Last Name:TONSO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:ERICA
Other - Middle Name:CHRISTINE
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6244 YELLOWSTONE RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009
Mailing Address - Country:US
Mailing Address - Phone:307-638-8520
Mailing Address - Fax:307-638-6857
Practice Address - Street 1:6244 YELLOWSTONE RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-3432
Practice Address - Country:US
Practice Address - Phone:307-638-8520
Practice Address - Fax:307-638-6857
Is Sole Proprietor?:No
Enumeration Date:2011-04-30
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY13031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice