Denise R Prugh DDS
Dentist, Pediatric Dentistry in Casper, WY. Organization (NPI-2).
NPI number1679952865
StatusActive
Last updated in NPPESMay 21, 2015
Details
- NPI
- 1679952865
- Entity type
- Organization (NPI-2)
- Legal business name
- Denise R Prugh DDS
- Organization subpart
- No
- Enumeration date
- May 21, 2015
- Last updated
- May 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Other names
- Surfin Smiles (Doing Business As)
Practice location
295 N Walsh DrCasper, WY 82609-1911
Phone 307-265-7878 · Fax 307-268-4953
Mailing address
295 N Walsh DrCasper, WY 82609-1911
Phone 307-265-7878
Authorized official
Denise Robin Prugh
Owner
3072657878
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Other Pediatric Dentistry providers in Casper, WY
- Everett Maynard, D.D.S.NPI 1912347253
- Roy E Paulson, DDSNPI 1104921907
- Denise R Prugh, DDSNPI 1003921735
- Roy E. Paulson Jr PCNPI 1750584173
- Surfin Smiles LLCNPI 1205303195
- Matthew Gary Wold, DMDNPI 1891218392
All 7 Pediatric Dentistry providers in Casper · All 2,720 providers in Casper
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