Whalio Doctors

NPI 1013124833

Justin E. Coon, DDS

Practitioner General Practice Dentistry Sheridan, WY

Practice location

Address
108 E Grinnell St, Sheridan, WY 82801-3938
Phone
(307) 672-7567
Fax
(307) 673-0568

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence WY 1047 (WY)

Registry record

NPI
1013124833
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.