Provider Demographics
NPI:1194357574
Name:STEVEN M. HARMON DDS, PC
Entity Type:Organization
Organization Name:STEVEN M. HARMON DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:307-371-3811
Mailing Address - Street 1:1151 GATEWAY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-6771
Mailing Address - Country:US
Mailing Address - Phone:307-382-5909
Mailing Address - Fax:307-382-7173
Practice Address - Street 1:1151 GATEWAY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6771
Practice Address - Country:US
Practice Address - Phone:307-382-5909
Practice Address - Fax:307-382-7173
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVEN M. HARMON DDS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty