Provider Demographics
NPI:1255499182
Name:GURFINKEL, HARRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:
Last Name:GURFINKEL
Suffix:
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 1:4819 HAGGERTY RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3901
Mailing Address - Country:US
Mailing Address - Phone:248-624-0200
Mailing Address - Fax:248-624-0201
Practice Address - Street 1:4819 HAGGERTY RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-3901
Practice Address - Country:US
Practice Address - Phone:248-624-0200
Practice Address - Fax:248-624-0201
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI171921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice