Everett Maynard, D.D.S

NPI 1912347253 · on the registry since 2013 · sole proprietor

Practice

Address: 295 N Walsh Dr
Casper, WY 82609
Phone: (307) 265-7878
Organisation at this address: Surfin Smiles Llc
Denise R Prugh Dds
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223P0221X
1223P0221X
Also registered as: 390200000X
122300000X
Licence states on file: NE, WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming