NPI 1104065903
Harold Macon, DDS
Practice location
- Address
- 1224 E Jackson Ave, Riverton, WY 82501-3841
- Phone
- (307) 856-3463
- Fax
- (307) 856-9910
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1104065903
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Feb 2009
- Record last updated
- 18 Feb 2009
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.