Individual
DR. DANIEL EUGENE HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1224 E JACKSON AVE, RIVERTON, WY 82501-3841
(307) 856-3463
(307) 856-9910
Mailing address
1224 E JACKSON AVE, RIVERTON, WY 82501-3841
(307) 856-3463
(307) 856-9910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1094
WY
1223G0001X
General Practice Dentistry
Primary
1434
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118488100
—
WY
01
—
312209
BCBS
—
Enumeration date
09/21/2006
Last updated
06/09/2016
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