Provider Demographics
NPI:1235644048
Name:HARMONY DENTAL PARTNERS, LLC
Entity Type:Organization
Organization Name:HARMONY DENTAL PARTNERS, LLC
Other - Org Name:BRANNON DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:STRUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-897-2483
Mailing Address - Street 1:1300 N MCCLINTOCK DR STE E12
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-7249
Mailing Address - Country:US
Mailing Address - Phone:480-897-2483
Mailing Address - Fax:480-820-1218
Practice Address - Street 1:21809 N. SCOTTSDALE RD.
Practice Address - Street 2:SUITE C105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-563-0000
Practice Address - Fax:480-563-4445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARMONY DENTAL PARTNERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty