Harlan Dental Clinic PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HARLAN DENTAL CLINIC PSC

Practice address

106 Railroad St
Building 2
Harlan, KY 40831-2320

Phone

(606) 573-9944

Fax

(606) 573-9995

NPI assigned

Aug 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew G NunezNPI 1508909706

Title

President

Phone

(606) 573-9944

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Garcia Nunez, D.M.D.

  • Dentist
  • Harlan, KY
  • NPI 1508909706
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1528079712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RAILROAD ST",
            "address_2": "BUILDING 2",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312320",
            "telephone_number": "606-573-9944",
            "fax_number": "606-573-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RAILROAD ST",
            "address_2": "BUILDING 2",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312320",
            "telephone_number": "606-573-9944",
            "fax_number": "606-573-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLAN DENTAL CLINIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-573-9944"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61943676",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lanny C Hadley, MD
• Harlan Counseling, PSC
• Harlan County Board of Education
• Harlan County Chiropractic LLC
• Harlan County Health Department Inc
• Harlan Emergency Medical Services Corporation
• Harlan Ind. Schools
• Harlan Medical Center Pharmacy Inc
• Harlan Nursing Home, Inc.
• Harlan Primary Care

• Dentist in Harlan, KY
• Providers in Harlan, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.