Organization Name: | PAUL W. HARR, D.D.S., INC. |
NPI Number: | 1356787121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOLLY VANCE (RECEPTIONIST) |
Mailing Address: | 721 Tom Tim Dr Paulding |
State: | OH US |
Postal Code: | 458799245 |
Phone Number: | 4193995211 |
Fax Number: | 4193995545 |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 30. 01490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |