Provider Demographics
NPI:1235354762
Name:KOPPEL, HAROLD JOE (DDS,MSD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JOE
Last Name:KOPPEL
Suffix:
Gender:M
Credentials:DDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 FILES RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6914
Mailing Address - Country:US
Mailing Address - Phone:501-525-3238
Mailing Address - Fax:501-525-3952
Practice Address - Street 1:136 FILES RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6914
Practice Address - Country:US
Practice Address - Phone:501-525-3238
Practice Address - Fax:501-525-3952
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR17801223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics