Provider Demographics
NPI:1508085192
Name:HARSHAW, DAVID WINSLOW (DMD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WINSLOW
Last Name:HARSHAW
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 1:41 SUGAR MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2020
Mailing Address - Country:US
Mailing Address - Phone:610-353-5523
Mailing Address - Fax:
Practice Address - Street 1:780 W LANCASTER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3415
Practice Address - Country:US
Practice Address - Phone:610-527-2434
Practice Address - Fax:610-527-2492
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0361811223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry