Provider Demographics
NPI:1629361316
Name:KAMARA, HAROLD JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JOHN
Last Name:KAMARA
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 1:812 NIGHTHAWK DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3915
Mailing Address - Country:US
Mailing Address - Phone:214-766-4025
Mailing Address - Fax:
Practice Address - Street 1:8731 BENBROOK BLVD
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-3442
Practice Address - Country:US
Practice Address - Phone:214-766-4025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00265271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice