Provider Demographics
NPI:1326062274
Name:HARMON, ROBERT H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:HARMON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:H
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PA
Mailing Address - Street 1:840 LAKIN STREET
Mailing Address - Street 2:
Mailing Address - City:OSAGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66523-1159
Mailing Address - Country:US
Mailing Address - Phone:785-528-3773
Mailing Address - Fax:785-528-3504
Practice Address - Street 1:840 LAKIN STREET
Practice Address - Street 2:
Practice Address - City:OSAGE CITY
Practice Address - State:KS
Practice Address - Zip Code:66523-1159
Practice Address - Country:US
Practice Address - Phone:785-528-3773
Practice Address - Fax:785-528-3504
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice