Provider Demographics
NPI:1407567746
Name:HARR FAMILY DENTAL, LLC
Entity Type:Organization
Organization Name:HARR FAMILY DENTAL, LLC
Other - Org Name:SMILES MADE PERFECT DENTAL PARTNERS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:HARR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:417-544-1570
Mailing Address - Street 1:153 S PAYNE STEWART DR
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2792
Mailing Address - Country:US
Mailing Address - Phone:417-544-1570
Mailing Address - Fax:
Practice Address - Street 1:153 S PAYNE STEWART DR
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2792
Practice Address - Country:US
Practice Address - Phone:417-544-1570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental