Provider Demographics
NPI:1598765455
Name:HARPER, RICHARD P (DDS, PHD, PA)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:HARPER
Suffix:
Gender:M
Credentials:DDS, PHD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-2942
Mailing Address - Country:US
Mailing Address - Phone:903-872-6685
Mailing Address - Fax:903-872-6218
Practice Address - Street 1:729 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2942
Practice Address - Country:US
Practice Address - Phone:903-872-6685
Practice Address - Fax:903-872-6218
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2010-07-07
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
TX200801223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery