Provider Demographics
NPI:1417094137
Name:HARMON, RICHARD DANIEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DANIEL
Last Name:HARMON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 N MUR LEN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1861
Mailing Address - Country:US
Mailing Address - Phone:913-780-5069
Mailing Address - Fax:913-764-8112
Practice Address - Street 1:975 N MUR LEN RD
Practice Address - Street 2:SUITE B
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1861
Practice Address - Country:US
Practice Address - Phone:913-780-5069
Practice Address - Fax:913-764-8112
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS65431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice