Provider Demographics
NPI:1982346433
Name:JAMES HARB DENTISTRY LLC
Entity Type:Organization
Organization Name:JAMES HARB DENTISTRY LLC
Other - Org Name:MOUNTAIN TOP DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-216-3447
Mailing Address - Street 1:2701 MOODY PKWY
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:AL
Mailing Address - Zip Code:35004-3152
Mailing Address - Country:US
Mailing Address - Phone:205-216-3447
Mailing Address - Fax:
Practice Address - Street 1:2701 MOODY PKWY
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:AL
Practice Address - Zip Code:35004-3152
Practice Address - Country:US
Practice Address - Phone:205-613-2994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty