Provider Demographics
NPI:1437246659
Name:DAVID E. HARMAN M.A. , D.D.S. , INC.
Entity Type:Organization
Organization Name:DAVID E. HARMAN M.A. , D.D.S. , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ESTON
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA , DDS
Authorized Official - Phone:304-257-4770
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26847-0279
Mailing Address - Country:US
Mailing Address - Phone:304-257-4770
Mailing Address - Fax:304-257-5475
Practice Address - Street 1:14 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26847-1752
Practice Address - Country:US
Practice Address - Phone:304-257-4770
Practice Address - Fax:304-257-5475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV29271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0132834000Medicaid