| Stephen J Harkins Dds Pc | |
|
4781 E Camp Lowell Dr Ste 101 Tucson AZ 85712-1290 | |
| (520) 298-6909 | |
| (520) 298-7376 |
| Full Name | Stephen J Harkins Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 4781 E Camp Lowell Dr Ste 101, Tucson, Arizona |
| Authorized Official Name and Position | Stephen J Harkins (DENTIST/OWNER) |
| Authorized Official Contact | 5202986909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Harkins Dds Pc 4781 E Camp Lowell Dr Ste 101 Tucson AZ 85712-1290 Ph: (520) 298-6909 | Stephen J Harkins Dds Pc 4781 E Camp Lowell Dr Ste 101 Tucson AZ 85712-1290 Ph: (520) 298-6909 |
| NPI Number | 1740361559 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 10/04/2012 |
| Medicare PECOS PAC ID | 3971409004 |
|---|---|
| Medicare Enrollment ID | O20031210000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740361559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D2775 (Arizona) | Primary |
| Provider Name | Stephen J Harkins |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1477599827 PECOS PAC ID: 2769388693 Enrollment ID: I20031216000814 |
| Provider Name | Joseph D Matthews |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710984695 PECOS PAC ID: 6709101405 Enrollment ID: I20150220000009 |
| Provider Name | Mitchell R Halter |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841287398 PECOS PAC ID: 4981921681 Enrollment ID: I20170425002103 |
| Provider Name | Alan Schenne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285696351 PECOS PAC ID: 6002853785 Enrollment ID: I20170628001079 |
| Provider Name | Jeffrey C Wight |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043541907 PECOS PAC ID: 1052734431 Enrollment ID: I20200701001759 |
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