Provider Demographics
NPI:1326188798
Name:HARWELL AND HARWELL ORTHODONTICS
Entity Type:Organization
Organization Name:HARWELL AND HARWELL ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARWELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDSMS
Authorized Official - Phone:806-353-3593
Mailing Address - Street 1:3420 THORNTON DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3928
Mailing Address - Country:US
Mailing Address - Phone:806-353-3593
Mailing Address - Fax:806-353-4018
Practice Address - Street 1:3420 THORNTON DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3928
Practice Address - Country:US
Practice Address - Phone:806-353-3593
Practice Address - Fax:806-353-4018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty