Provider Demographics
NPI:1669872297
Name:DANIEL T HARNING DDS INC
Entity type:Organization
Organization Name:DANIEL T HARNING DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:HARNING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:9373-784-8484
Mailing Address - Street 1:444 HOME ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-1408
Mailing Address - Country:US
Mailing Address - Phone:937-378-4848
Mailing Address - Fax:
Practice Address - Street 1:444 HOME ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1408
Practice Address - Country:US
Practice Address - Phone:937-378-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30015156261QD0000X
OH30023737261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0338576Medicaid
OH0068739Medicaid