Individual
DENISE R PRUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
295 N WALSH DR, CASPER, WY 82609-1911
(307) 265-7878
Mailing address
295 N WALSH DR, CASPER, WY 82609-1911
(307) 265-7878
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
964
WY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
964
WY
Other
Enumeration date
08/21/2006
Last updated
09/11/2025
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