Provider Demographics
NPI:1174533541
Name:HARLACHER, ANTHONY ROBERT (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:ROBERT
Last Name:HARLACHER
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 1:30 CHOATE CIRCLE
Mailing Address - Street 2:SUTIE ONE
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754
Mailing Address - Country:US
Mailing Address - Phone:570-368-2925
Mailing Address - Fax:570-369-2926
Practice Address - Street 1:30 CHOATE CIRCLE
Practice Address - Street 2:SUTIE ONE
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754
Practice Address - Country:US
Practice Address - Phone:570-368-2925
Practice Address - Fax:570-369-2926
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027277L122300000X, 1223E0200X
PADS027727L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist