Dermatology
TETON DERMATOLOGY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194044750 · enumerated 2010-05-21 · record updated 2024-09-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. GHEORGHE PUSTA, Executive Director · (512) 628-0465
Addresses and phones
- Practice location 984 WEST BROADWAY, SUITE 4, JACKSON, WY, 83001-0000 (307) 734-1800 Fax (307) 734-5012 Google Maps Apple Maps OpenStreetMap
- Mailing address 7300 RANCH RD. 2222, BLDG 1, STE 200, AUSTIN, TX, 78730 (512) 628-0465 Fax (512) 628-0468 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
JACKSON, WY, 830010000
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.