Provider Demographics
NPI:1588797666
Name:HARKEY, STEPHEN KURT (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:KURT
Last Name:HARKEY
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 1:10627 RIVERCREST DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5437
Mailing Address - Country:US
Mailing Address - Phone:813-677-1177
Mailing Address - Fax:813-677-4955
Practice Address - Street 1:10627 RIVERCREST DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5437
Practice Address - Country:US
Practice Address - Phone:813-677-1177
Practice Address - Fax:813-677-4955
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN165561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice