Provider Demographics
NPI:1629136395
Name:VANBELOIS, HARVARD JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARVARD
Middle Name:JOHN
Last Name:VANBELOIS
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 1:2224 S CROATAN HWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-8813
Mailing Address - Country:US
Mailing Address - Phone:252-441-4300
Mailing Address - Fax:252-441-6684
Practice Address - Street 1:2224 S CROATAN HWY
Practice Address - Street 2:SUITE 7
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8813
Practice Address - Country:US
Practice Address - Phone:252-441-4300
Practice Address - Fax:252-441-6684
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64761223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890219WMedicaid
NC852983OtherUNITED CONCORDIA
NCU56543Medicare UPIN
NC890219WMedicaid