Provider Demographics
NPI:1467543934
Name:ISRAEL, HARVEY STEVEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:STEVEN
Last Name:ISRAEL
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 1:233 EASTERLY PKWY
Mailing Address - Street 2:STE 106
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-6300
Mailing Address - Country:US
Mailing Address - Phone:814-238-8119
Mailing Address - Fax:814-238-8119
Practice Address - Street 1:233 EASTERLY PKWY
Practice Address - Street 2:STE 106
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-6300
Practice Address - Country:US
Practice Address - Phone:814-238-8119
Practice Address - Fax:814-238-8119
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS21564L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice