Provider Demographics
NPI:1629298997
Name:ROBERT H. HARMON D.D.S., P.A.
Entity Type:Organization
Organization Name:ROBERT H. HARMON D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-528-3773
Mailing Address - Street 1:840 LAKIN STREET
Mailing Address - Street 2:
Mailing Address - City:OSAGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66523-1159
Mailing Address - Country:US
Mailing Address - Phone:785-528-3773
Mailing Address - Fax:785-528-3504
Practice Address - Street 1:840 LAKIN STREET
Practice Address - Street 2:
Practice Address - City:OSAGE CITY
Practice Address - State:KS
Practice Address - Zip Code:66523-1159
Practice Address - Country:US
Practice Address - Phone:785-528-3773
Practice Address - Fax:785-528-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty