Provider Demographics
NPI:1255503538
Name:HARLIN AND WILKINSON DENTISTRY PARTNERSHIP
Entity Type:Organization
Organization Name:HARLIN AND WILKINSON DENTISTRY PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-732-6622
Mailing Address - Street 1:3600 HULEN ST
Mailing Address - Street 2:BUILDING D-4
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107
Mailing Address - Country:US
Mailing Address - Phone:817-732-6622
Mailing Address - Fax:817-732-6639
Practice Address - Street 1:3600 HULEN ST
Practice Address - Street 2:BUILDING D-4
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107
Practice Address - Country:US
Practice Address - Phone:817-732-6622
Practice Address - Fax:817-732-6639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9567122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty