Provider Demographics
NPI:1205941531
Name:HARPER, REBA COPLEY (DDS)
Entity type:Individual
Prefix:
First Name:REBA
Middle Name:COPLEY
Last Name:HARPER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:REBA
Other - Middle Name:COPLEY
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7735 CALDER AVE.
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706
Mailing Address - Country:US
Mailing Address - Phone:409-892-5539
Mailing Address - Fax:409-896-2690
Practice Address - Street 1:7735 CALDER AVE
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-5734
Practice Address - Country:US
Practice Address - Phone:409-892-5539
Practice Address - Fax:409-896-2690
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX18122122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist