Provider Demographics
NPI:1700261369
Name:HARGER, DAVID JACOB (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JACOB
Last Name:HARGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 RALEIGH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1418
Mailing Address - Country:US
Mailing Address - Phone:775-813-8767
Mailing Address - Fax:
Practice Address - Street 1:1001 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-6968
Practice Address - Country:US
Practice Address - Phone:303-452-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN5036122300000X
WI1001496-15122300000X
MADN18597011223G0001X
TN111931223G0001X
CODEN.002042351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist