Harold Macon, DDS

NPI #1104065903 in Riverton, Wyoming

Provider Information

NPI Number: 1104065903
Entity Type: Individual
Name: Harold Macon, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 18, 2009
Last Updated: Feb 18, 2009

Practice Location

Address: 1224 E JACKSON AVE
City: Riverton
State: Wyoming
ZIP Code: 82501-3841
Phone: (307) 856-3463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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