Provider Demographics
NPI:1346449501
Name:HARAY, ROBERT JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:HARAY
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:PO BOX 105
Mailing Address - Street 2:1731 COCHECTON TURNPIKE
Mailing Address - City:DAMASCUS
Mailing Address - State:PA
Mailing Address - Zip Code:18415-0105
Mailing Address - Country:US
Mailing Address - Phone:570-224-6700
Mailing Address - Fax:570-224-6649
Practice Address - Street 1:1731 COCHECTON TURNPIKE
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:PA
Practice Address - Zip Code:18415-0105
Practice Address - Country:US
Practice Address - Phone:570-224-6700
Practice Address - Fax:570-224-6649
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026248L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist