Harlo Lee Donelson, DDS is a
Dentist - General Practice based in Memphis, Missouri. Harlo Lee Donelson is licensed to practice in Missouri (license number 10127) and his current practice location is
125 S Main, Memphis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 465-7770.
NPI number for Harlo Lee Donelson is 1275709610 and his current mailing address is 125 S Main, Memphis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275709610.
Healthcare Provider's Profile
| Full Name | Harlo Lee Donelson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 125 S Main, Memphis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275709610
- Provider Enumeration Date: 05/06/2008
- Last Update Date: 05/06/2008
Medical Identifiers
Medical identifiers for Harlo Lee Donelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275709610 | NPI | - | NPPES |
| 0988022 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 10127 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Harlo Lee Donelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Harlo Lee Donelson, DDS
125 S Main,
Memphis, MO 63555-1423
Ph: (660) 465-7770 | Harlo Lee Donelson, DDS
125 S Main,
Memphis, MO 63555-1423
Ph: (660) 465-7770 |
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