Provider Demographics
NPI:1346460797
Name:HARPER, DANIEL CALVIN (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CALVIN
Last Name:HARPER
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:CALVIN
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD,MS
Mailing Address - Street 1:2567 CAL YOUNG RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6441
Mailing Address - Country:US
Mailing Address - Phone:541-485-6888
Mailing Address - Fax:541-342-4755
Practice Address - Street 1:2567 CAL YOUNG RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6441
Practice Address - Country:US
Practice Address - Phone:541-485-6888
Practice Address - Fax:541-342-4755
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD75601223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics