Provider Demographics
NPI:1881116135
Name:HARR, DEVIN (DMD)
Entity type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:
Last Name:HARR
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 1:13012 OLD GLENN HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7568
Mailing Address - Country:US
Mailing Address - Phone:907-694-2409
Mailing Address - Fax:
Practice Address - Street 1:13012 OLD GLENN HWY STE 102
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7568
Practice Address - Country:US
Practice Address - Phone:907-694-2409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1204881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice