Provider Demographics
NPI:1164434650
Name:HARKINS, JOE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:A
Last Name:HARKINS
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 1:11010 QUAKER AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8316
Mailing Address - Country:US
Mailing Address - Phone:806-767-6453
Mailing Address - Fax:806-791-2273
Practice Address - Street 1:11010 QUAKER AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-8316
Practice Address - Country:US
Practice Address - Phone:806-767-6453
Practice Address - Fax:806-791-2273
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice