Provider Demographics
NPI:1760474548
Name:MCGRAW, HARRIET KATHRYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:KATHRYN
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARBOR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49740-1533
Mailing Address - Country:US
Mailing Address - Phone:231-526-2630
Mailing Address - Fax:
Practice Address - Street 1:112 E 3RD ST
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-1533
Practice Address - Country:US
Practice Address - Phone:231-526-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010118491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MID118490Medicare UPIN