Provider Demographics
NPI:1528180676
Name:PATCHIN, HARRY VERNON (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:VERNON
Last Name:PATCHIN
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 1:407 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5105
Mailing Address - Country:US
Mailing Address - Phone:717-761-1300
Mailing Address - Fax:717-728-4214
Practice Address - Street 1:407 S 32ND ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5105
Practice Address - Country:US
Practice Address - Phone:717-761-1300
Practice Address - Fax:717-728-4214
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS23688L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice