Provider Demographics
NPI:1548394570
Name:HARNOIS, PETER T (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:T
Last Name:HARNOIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 CHESTNUT ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3171
Mailing Address - Country:US
Mailing Address - Phone:630-323-4468
Mailing Address - Fax:630-323-4446
Practice Address - Street 1:522 CHESTNUT ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3171
Practice Address - Country:US
Practice Address - Phone:630-323-4468
Practice Address - Fax:630-323-4446
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice