Provider Demographics
NPI:1013162668
Name:HARPER, JAMES KEVIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KEVIN
Last Name:HARPER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 EASTERN BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-2460
Mailing Address - Country:US
Mailing Address - Phone:812-282-1773
Mailing Address - Fax:812-282-1791
Practice Address - Street 1:639 EASTERN BLVD
Practice Address - Street 2:STE B
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-2460
Practice Address - Country:US
Practice Address - Phone:812-282-1773
Practice Address - Fax:812-282-1791
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008699A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist