Provider Demographics
NPI:1457349409
Name:LATIMER, HARVEY LINDSAY (D D S)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:LINDSAY
Last Name:LATIMER
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 PATTERSON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2119
Mailing Address - Country:US
Mailing Address - Phone:615-320-1805
Mailing Address - Fax:615-320-1546
Practice Address - Street 1:1900 PATTERSON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2119
Practice Address - Country:US
Practice Address - Phone:615-320-1805
Practice Address - Fax:615-320-1546
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice