Provider Demographics
NPI:1720265804
Name:HARPER, KIMBERLY D (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:D
Last Name:HARPER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 N MACARTHUR BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-8804
Mailing Address - Country:US
Mailing Address - Phone:972-258-6462
Mailing Address - Fax:972-258-6477
Practice Address - Street 1:3204 N MACARTHUR BLVD STE C
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-8804
Practice Address - Country:US
Practice Address - Phone:972-258-6462
Practice Address - Fax:972-258-6477
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice