Provider Demographics
NPI:1659445500
Name:DRS HARPER & GILMORE INC
Entity Type:Organization
Organization Name:DRS HARPER & GILMORE INC
Other - Org Name:DENTAL OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:BOBBICA
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-932-0433
Mailing Address - Street 1:2250 WARRENSVILLE CENTER ROAD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118
Mailing Address - Country:US
Mailing Address - Phone:216-932-0433
Mailing Address - Fax:216-932-1245
Practice Address - Street 1:2250 WARRENSVILLE CENTER ROAD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118
Practice Address - Country:US
Practice Address - Phone:216-932-0433
Practice Address - Fax:216-932-1245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH170911223G0001X
OH187611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0551344Medicare ID - Type Unspecified