Provider Demographics
NPI:1023038866
Name:HARSCH, DON R (DDS)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:R
Last Name:HARSCH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 SW DORION AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2071
Mailing Address - Country:US
Mailing Address - Phone:541-276-4257
Mailing Address - Fax:541-276-3563
Practice Address - Street 1:715 SW DORION AVE STE 2
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2071
Practice Address - Country:US
Practice Address - Phone:541-276-4257
Practice Address - Fax:541-276-3563
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR48311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice