Provider Demographics
NPI:1699842971
Name:DAVID E HARMON JR DDS MSD PA
Entity Type:Organization
Organization Name:DAVID E HARMON JR DDS MSD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ERVIN
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:301-333-3900
Mailing Address - Street 1:10264 LAKE ARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721
Mailing Address - Country:US
Mailing Address - Phone:301-333-3900
Mailing Address - Fax:301-333-3239
Practice Address - Street 1:10264 LAKE ARBOR WAY
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721
Practice Address - Country:US
Practice Address - Phone:301-333-3900
Practice Address - Fax:301-333-3239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11886122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty