Provider Demographics
NPI:1255325197
Name:HARMAN, JOHN N IV (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:N
Last Name:HARMAN
Suffix:IV
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 1:4730 E INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5441
Mailing Address - Country:US
Mailing Address - Phone:602-840-5300
Mailing Address - Fax:602-840-3401
Practice Address - Street 1:4730 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 210
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5441
Practice Address - Country:US
Practice Address - Phone:602-840-5300
Practice Address - Fax:602-840-3401
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ64031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice