Harbor Dental is a Dentist in Benton Harbor, Michigan. Harbor Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Harbor Dental is 1992712061. The last update date is 2020-08-22.
Harbor Dental's current location address is 143 E Main, Benton Harbor, Michigan. You can contact this provider via phone number 2699271313 and fax number 2699349447. The mailing address for Harbor Dental is 143 E Main, Benton Harbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Harbor Dental |
|---|---|
| Address | 143 E Main, Benton Harbor, Michigan |
| Phone Number | 2699271313 |
| Fax Number | 2699349447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Potts J Glenda |
| Credentials | RDA CDA |
| Telephone Number | 2699271313 |
NPI Number Detail
| NPI Number | 1992712061 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 143 E Main |
|---|---|
| City | Benton Harbor |
| State | Michigan (MI) |
| Post Code | 49022 |
| Phone Number | 2699271313 |
| Fax Number | 2699349447 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4545920 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Harbor Dental by the Centers for Medicare & Medicaid Services?
The Harbor Dental has been issued the NPI (National Provider Identifier) 1992712061 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Harbor Dental is located?
The Harbor Dental is situated at the following address: 143 E Main, Benton Harbor, MI, 49022.
What is the Harbor Dental's specialty and taxonomy code?
The Harbor Dental's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Harbor Dental receive its 1992712061 assignment?
The Harbor Dental was assigned its 1992712061 on 2006-08-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Harbor Dental most recently updated?
The details pertaining to the Harbor Dental, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT