Provider Demographics
NPI:1245313790
Name:DAYTON, RICHARD EVERETT (DDS MS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EVERETT
Last Name:DAYTON
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 SOUTH DURBIN
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-3151
Mailing Address - Country:US
Mailing Address - Phone:307-234-8971
Mailing Address - Fax:307-234-8972
Practice Address - Street 1:643 SOUTH DURBIN
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-3151
Practice Address - Country:US
Practice Address - Phone:307-234-8971
Practice Address - Fax:307-234-8972
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY5561223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics