| Dustin R Harper Dmd Llc | |
|
508 N Green River Rd Evansville IN 47715-2412 | |
| (812) 479-5000 | |
| (812) 479-8298 |
| Full Name | Dustin R Harper Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 508 N Green River Rd, Evansville, Indiana |
| Authorized Official Name and Position | Dustin R Harper (OWNER) |
| Authorized Official Contact | 8662738204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin R Harper Dmd Llc Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Dustin R Harper Dmd Llc 508 N Green River Rd Evansville IN 47715-2412 Ph: (812) 479-5000 |
| NPI Number | 1932495629 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 06/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932495629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011291A (Indiana) | Primary |
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