Provider Demographics
NPI:1407339849
Name:NICHOLAS R. HARKER DDS PLLC
Entity Type:Organization
Organization Name:NICHOLAS R. HARKER DDS PLLC
Other - Org Name:MYDENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-464-4100
Mailing Address - Street 1:915 E HAWTHORNE RD STE G
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1482
Mailing Address - Country:US
Mailing Address - Phone:509-464-4100
Mailing Address - Fax:509-464-4104
Practice Address - Street 1:915 E HAWTHORNE RD STE G
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1482
Practice Address - Country:US
Practice Address - Phone:509-464-4100
Practice Address - Fax:509-464-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty