Provider Demographics
NPI:1295353639
Name:JOHN N HARMAN IV DDS BH PLLC
Entity type:Organization
Organization Name:JOHN N HARMAN IV DDS BH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:IV
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-840-5300
Mailing Address - Street 1:4730 E INDIAN SCHOOL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5410
Mailing Address - Country:US
Mailing Address - Phone:602-840-5300
Mailing Address - Fax:602-840-3401
Practice Address - Street 1:2236 W BETHANY HOME RD STE 1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-1934
Practice Address - Country:US
Practice Address - Phone:602-246-2217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental