Provider Demographics
NPI:1386815561
Name:DR. ANN HARVEY, LLC
Entity Type:Organization
Organization Name:DR. ANN HARVEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, LLC
Authorized Official - Phone:301-931-8632
Mailing Address - Street 1:11108 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-1014
Mailing Address - Country:US
Mailing Address - Phone:301-931-8632
Mailing Address - Fax:301-931-7206
Practice Address - Street 1:11108 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:ADELPHI
Practice Address - State:MD
Practice Address - Zip Code:20783-1014
Practice Address - Country:US
Practice Address - Phone:301-931-8632
Practice Address - Fax:301-931-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11857261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental