Provider Demographics
NPI:1013803261
Name:MAPLE DENTAL OF HARRISBURG PC
Entity type:Organization
Organization Name:MAPLE DENTAL OF HARRISBURG PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMRANJEET
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:DHALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-745-2700
Mailing Address - Street 1:2017 EG DR # 200
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3691
Mailing Address - Country:US
Mailing Address - Phone:717-745-2700
Mailing Address - Fax:855-691-0371
Practice Address - Street 1:2017 EG DR # 200
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3691
Practice Address - Country:US
Practice Address - Phone:717-745-2700
Practice Address - Fax:855-691-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty