Surfin Smiles
LBN: Denise R Prugh Dds
Surfin Smiles is an health care organization with primary practice located at 295 N Walsh Dr , Casper WY 82609-1911. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Denise R Prugh Dds can be contacted via phone (307) 265-7878, or through Prugh, Denise Robin via phone (307) 265-7878.
Contact Information
Primary practice address
295 N Walsh Dr
Casper WY 82609-1911
Phone: (307) 265-7878
Fax: (307) 268-4953
Website:
Authorized official contact:
Name: Prugh, Denise Robin Doctor of Dental Surgery (DDS)
Phone: (307) 265-7878
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1679952865 |
|---|---|
| LBN Legal business name | Denise R Prugh Dds |
| DBA Doing business as | Surfin Smiles |
| Authorized official | Prugh, Denise Robin Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2015 |
| Last updated | May 21st, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679952865 | NPPES |
| Wyoming | MEDICAID | 114491000 |
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