Provider Demographics
NPI:1851521165
Name:HARPER, HEATHER S (DDS)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:S
Last Name:HARPER
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 1:281 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-4933
Mailing Address - Country:US
Mailing Address - Phone:207-622-0861
Mailing Address - Fax:207-626-3146
Practice Address - Street 1:281 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4933
Practice Address - Country:US
Practice Address - Phone:207-622-0861
Practice Address - Fax:207-626-3146
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN41111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice