Individual
DR. CARTER BURKE MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
625 E ALAMEDA RD, POCATELLO, ID 83201-3622
(208) 237-0005
Mailing address
625 E ALAMEDA RD, POCATELLO, ID 83201-3622
(208) 237-0005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6771884
ID
Other
Enumeration date
07/08/2024
Last updated
12/18/2025
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