| Harbor Dental | |
|
143 E Main Benton Harbor MI 49022 | |
| (269) 927-1313 | |
| (269) 934-9447 |
| Full Name | Harbor Dental |
|---|---|
| Speciality | Dentist |
| Location | 143 E Main, Benton Harbor, Michigan |
| Authorized Official Name and Position | Glenda J Potts (OFFICE MANAGER) |
| Authorized Official Contact | 2699271313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Dental 143 E Main Benton Harbor MI 49022 Ph: (269) 927-1313 | Harbor Dental 143 E Main Benton Harbor MI 49022 Ph: (269) 927-1313 |
| NPI Number | 1992712061 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992712061 | NPI | - | NPPES |
| 4545920 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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