Provider Demographics
NPI:1407631682
Name:HARTON, TERRI LEE (RDH)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LEE
Last Name:HARTON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5113
Mailing Address - Country:US
Mailing Address - Phone:304-485-7374
Mailing Address - Fax:
Practice Address - Street 1:211 6TH ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5113
Practice Address - Country:US
Practice Address - Phone:304-485-7374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2333124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist