Provider Demographics
NPI:1043220411
Name:ANTHONY R. HARLACHER DMD, PC
Entity Type:Organization
Organization Name:ANTHONY R. HARLACHER DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:HARLACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:570-421-3060
Mailing Address - Street 1:79 S COURTLAND ST
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2865
Mailing Address - Country:US
Mailing Address - Phone:570-421-3060
Mailing Address - Fax:570-421-7092
Practice Address - Street 1:79 S COURTLAND ST
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2865
Practice Address - Country:US
Practice Address - Phone:570-421-3060
Practice Address - Fax:570-421-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031285L122300000X
PADS-031285-L122300000X
PADS027277L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty