Provider Demographics
NPI:1710107008
Name:HAROLD A. DOERR, D.D.S, PC
Entity Type:Organization
Organization Name:HAROLD A. DOERR, D.D.S, PC
Other - Org Name:DAKOTA REGIONAL PERIODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOERR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-348-2556
Mailing Address - Street 1:2800 JACKSON BLVD
Mailing Address - Street 2:SUITE #6
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-3477
Mailing Address - Country:US
Mailing Address - Phone:605-348-2556
Mailing Address - Fax:605-348-1526
Practice Address - Street 1:2800 JACKSON BLVD
Practice Address - Street 2:SUITE #6
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-3477
Practice Address - Country:US
Practice Address - Phone:605-348-2556
Practice Address - Fax:605-348-1526
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
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty