Individual
DR. WILLIAM HARRISON BACON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PC
Contact information
Practice address
1250 THOMPSON RD, COOS BAY, OR 97420-2538
(541) 269-5353
(541) 266-0933
Mailing address
1250 THOMPSON RD, COOS BAY, OR 97420-2538
(541) 269-5353
(541) 266-0933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4304
OR
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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