| Organization Name: | MARK H. HARVEY, D.M.D., PSC |
| NPI Number: | 1003954629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK H HARVEY (PRESIDENT) |
| Mailing Address: | 1602 Lakewood Dr Elizabethtown |
| State: | KY US |
| Postal Code: | 427015458 |
| Phone Number: | 2707373368 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 5354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |