| Harmon Family Dentistry | |
|
3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 | |
| (616) 949-2650 | |
| (616) 222-0747 |
| Full Name | Harmon Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3575 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Julie A Jones (SECRETARY) |
| Authorized Official Contact | 6169492650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmon Family Dentistry 3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 Ph: (616) 949-2650 | Harmon Family Dentistry 3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 Ph: (616) 949-2650 |
| NPI Number | 1780158907 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 6406194075 |
|---|---|
| Medicare Enrollment ID | O20190115000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780158907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
| Provider Name | Timothy B Harmon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124384128 PECOS PAC ID: 4284945742 Enrollment ID: I20150624002361 |
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