Provider Demographics
NPI:1336593763
Name:HARRY HE DDS LLC
Entity Type:Organization
Organization Name:HARRY HE DDS LLC
Other - Org Name:DELAWARE ECO DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:YU
Authorized Official - Last Name:HE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-836-3711
Mailing Address - Street 1:1400 PEOPLES PLZ
Mailing Address - Street 2:207
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5707
Mailing Address - Country:US
Mailing Address - Phone:302-836-3711
Mailing Address - Fax:
Practice Address - Street 1:1400 PEOPLES PLZ
Practice Address - Street 2:207
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5707
Practice Address - Country:US
Practice Address - Phone:302-836-3711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10001311122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty