Provider Demographics
NPI:1083310742
Name:DARLINE HARPER, DMD, PA.
Entity Type:Organization
Organization Name:DARLINE HARPER, DMD, PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PDST/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-366-9090
Mailing Address - Street 1:100 BURNSED PL STE 1000
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6695
Mailing Address - Country:US
Mailing Address - Phone:407-366-9090
Mailing Address - Fax:
Practice Address - Street 1:100 BURNSED PL STE 1000
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6695
Practice Address - Country:US
Practice Address - Phone:407-366-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1306267000OtherGENERAL DENTISTRY