# BRIAN L MAYNOR D.D.S., PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Crosscreek Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194212456
- **Authorized official:** DR. BRIAN LANIER MAYNOR DDS (DENTIST)
- **Authorized official phone:** (252) 533-9300

## Contact information

- **Practice address:** 523 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6447
- **Practice address phone:** (252) 533-9300
- **Mailing address:** 523 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6447
- **Mailing address phone:** (252) 533-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10438 | NC | Yes |

## Other

- **Enumeration date:** 04/21/2018
- **Last updated:** 04/21/2018