Provider Demographics
NPI:1235505801
Name:HARMAN, JAMES HASLAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HASLAM
Last Name:HARMAN
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 1:606 N 1700 W
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-8200
Mailing Address - Country:US
Mailing Address - Phone:435-789-1748
Mailing Address - Fax:435-781-0081
Practice Address - Street 1:606 N 1700 W
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-8200
Practice Address - Country:US
Practice Address - Phone:435-789-1748
Practice Address - Fax:435-781-0081
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6221913-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice