EVERETT MAYNARD D.D.S. NPI 1912347253

NPI Information

NPI: 1912347253
Provider Name: EVERETT MAYNARD, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
295 N WALSH DR
CASPER, WY
ZIP 82609
Phone: (307) 265-7878
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Everett Maynard, D.D.S. is a pediatric dentistry dentist in Casper, WY. The provider is 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. Everett Maynard, D.D.S. NPI is 1912347253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

295 N WALSH DR
CASPER, WY
ZIP 82609-911
Phone: (307) 265-7878

The enumeration date for this NPI number is 7/1/2013 and was last updated on 1/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		7089	NEBRASKA	No
2	122300000X	Dentist		7089	NEBRASKA	No
3	1223P0221X	Dentist	Pediatric Dentistry	1343	WYOMING	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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