Provider Demographics
NPI:1700956133
Name:HARPOLE, STEVEN JIMERSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JIMERSON
Last Name:HARPOLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BISHOP ST
Mailing Address - Street 2:MEDICAL ARTS BUILDING
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38261-5440
Mailing Address - Country:US
Mailing Address - Phone:731-885-3341
Mailing Address - Fax:
Practice Address - Street 1:1200 BISHOP ST
Practice Address - Street 2:MEDICAL ARTS BUILDING
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261-5440
Practice Address - Country:US
Practice Address - Phone:731-885-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDSTN0050121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice