Provider Demographics
NPI:1841417276
Name:HARPER, RONNIE D
Entity Type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:D
Last Name:HARPER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W. COMMERCE ST
Mailing Address - Street 2:PO BOX 38
Mailing Address - City:BROWNSTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47220
Mailing Address - Country:US
Mailing Address - Phone:812-358-5950
Mailing Address - Fax:
Practice Address - Street 1:615 W. COMMERCE ST
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:IN
Practice Address - Zip Code:47220
Practice Address - Country:US
Practice Address - Phone:812-358-5950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12006198A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice