WYOMING ORAL & MAXILLOFACIAL SURGERY P. C.
NPI 1356630057
Dentist - Oral and Maxillofacial Surgery in Casper, WY

Active since April 04, 2011
4611 ARROYO DR SUITE 1, CASPER, WY 82604(307) 235-1600(307) 235-1601 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wyoming Oral & Maxillofacial Surgery P. C. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYOMING ORAL & MAXILLOFACIAL SURGERY P. C. (NPI 1356630057) is a healthcare organization registered as an oral and maxillofacial surgery in Casper, Wyoming and active in the NPI registry since April 2011. The organization lists Lucas A Hardy, Owner, as its authorized official.

NPPES Registry Identity

NPI1356630057
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWYOMING ORAL & MAXILLOFACIAL SURGERY P. C.
Location Address4611 ARROYO DR SUITE 1Casper, WY 82604
Mailing Address4611 Arroyo Dr Suite 1Casper, WY 82604 · (307) 235-1600 · Fax (307) 235-1601
Fax(307) 235-1601
Organization SubpartNo
Authorized OfficialLucas A HardyOwner · (307) 235-1600
Enumeration DateApril 4, 2011
NPI 1356630057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in WY · 1146 Licensed in WY · 1265
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4611 ARROYO DR SUITE 1, Casper, WY 82604

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
4611 ARROYO DR SUITE 1
CASPER, WY 82604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyoming Oral & Maxillofacial Surgery P. C.'s NPI number?

The NPI number for Wyoming Oral & Maxillofacial Surgery P. C. is 1356630057. It was assigned to this organization in the NPPES registry on April 4, 2011.

Where is Wyoming Oral & Maxillofacial Surgery P. C. located?

Wyoming Oral & Maxillofacial Surgery P. C. is located at 4611 Arroyo Dr Suite 1, Casper, WY 82604. The listed phone number is (307) 235-1600.

What is Wyoming Oral & Maxillofacial Surgery P. C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Wyoming Oral & Maxillofacial Surgery P. C. was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.