Provider Demographics
NPI:1659374643
Name:ALBERS, HARRY FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:FRANCIS
Last Name:ALBERS
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 1:95 MONTGOMERY DR
Mailing Address - Street 2:STE 106
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-6617
Mailing Address - Country:US
Mailing Address - Phone:707-575-1190
Mailing Address - Fax:707-575-4033
Practice Address - Street 1:95 MONTGOMERY DR
Practice Address - Street 2:STE 106
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-6617
Practice Address - Country:US
Practice Address - Phone:707-575-1190
Practice Address - Fax:707-575-4033
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-07-17
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-21
Provider Licenses
StateLicense IDTaxonomies
CA265761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice