Provider Demographics
NPI:1528031796
Name:COLLINS, HARVEY ARTHUR JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:ARTHUR
Last Name:COLLINS
Suffix:JR
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 1:1267 W TODD RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1402
Mailing Address - Country:US
Mailing Address - Phone:732-244-3949
Mailing Address - Fax:
Practice Address - Street 1:1608 ROUTE 88 W
Practice Address - Street 2:SUITE 111
Practice Address - City:BRICKTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08724-3009
Practice Address - Country:US
Practice Address - Phone:732-458-8200
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI143701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice