Provider Demographics
NPI:1073531281
Name:HARKINS, WILLIAM KYLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KYLE
Last Name:HARKINS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 CURTIN ST
Mailing Address - Street 2:PO BOX 158
Mailing Address - City:OSCEOLA MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16666-1152
Mailing Address - Country:US
Mailing Address - Phone:814-339-6695
Mailing Address - Fax:814-339-6097
Practice Address - Street 1:222 CURTIN ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA MILLS
Practice Address - State:PA
Practice Address - Zip Code:16666-1152
Practice Address - Country:US
Practice Address - Phone:814-339-6695
Practice Address - Fax:814-339-6097
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0251841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA185782OtherBC/BS UNITED CONCORDIA #
PA185782OtherBC/BS UNITED CONCORDIA #