Provider Demographics
NPI:1427409366
Name:HARLAN L. HASSEN, DDS
Entity Type:Organization
Organization Name:HARLAN L. HASSEN, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-454-6443
Mailing Address - Street 1:209 NE BARRY RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2721
Mailing Address - Country:US
Mailing Address - Phone:816-454-6443
Mailing Address - Fax:816-454-3145
Practice Address - Street 1:209 NE BARRY RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2721
Practice Address - Country:US
Practice Address - Phone:816-454-6443
Practice Address - Fax:816-454-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty