Provider Demographics
NPI:1265254130
Name:HARTMAN DENTAL & ASSOCIATES
Entity type:Organization
Organization Name:HARTMAN DENTAL & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CIMARRON
Authorized Official - Middle Name:
Authorized Official - Last Name:REIMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-855-5505
Mailing Address - Street 1:42 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2567
Mailing Address - Country:US
Mailing Address - Phone:215-855-5505
Mailing Address - Fax:
Practice Address - Street 1:42 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2567
Practice Address - Country:US
Practice Address - Phone:215-855-5505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty