Individual provider · Type 1 NPI
Everett Maynard, DDS
Pediatric Dentistry · Casper, WY
NPI number
1912347253
Active
Practice location
295 N Walsh Dr
Casper, WY 82609-1911
Mailing address
3361 E 18th St
Casper, WY 82609-3513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 7089 (NE) |
| Dentist | 122300000X | 7089 (NE) |
| Pediatric Dentistry Primary | 1223P0221X | 1343 (WY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
Other pediatric dentistry providers in Casper
About NPI 1912347253
Everett Maynard, DDS's National Provider Identifier is 1912347253, issued on Jul 1, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Casper, WY. The record was last updated on Jan 25, 2016.