Provider Demographics
NPI:1083764450
Name:HARP, NANCI LOCKLEAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCI
Middle Name:LOCKLEAR
Last Name:HARP
Suffix:
Gender:F
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:POST OFFICE BOX 231
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-9281
Mailing Address - Country:US
Mailing Address - Phone:910-843-4262
Mailing Address - Fax:
Practice Address - Street 1:239 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377-9281
Practice Address - Country:US
Practice Address - Phone:910-843-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7150122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899014AMedicaid