Provider Demographics
NPI:1518407683
Name:HARMONY DENTAL PARTNERS, LLC
Entity Type:Organization
Organization Name:HARMONY DENTAL PARTNERS, LLC
Other - Org Name:THOMAS & THOMAS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-751-3302
Mailing Address - Street 1:7150 NORTH 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020
Mailing Address - Country:US
Mailing Address - Phone:602-230-0811
Mailing Address - Fax:
Practice Address - Street 1:7150 NORTH 7TH STREET
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:602-230-0811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4589122300000X
AZ4590122300000X
AZH05328124Q00000X
AZH04795124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty