Daniel Harkey, DDS
Individual provider Active NPI Dentist · Mansfield, MO
NPI 1780905281 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1780905281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2010015973 (MO)
- Practice address
- 104 S Lincoln Ave
Mansfield, MO 65704-9526 - Phone
- (417) 924-3262
- Fax
- (417) 924-1344
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010015973 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max E. Harkey, D.M.D., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2010015973 | MO | Yes |
Addresses
Primary practice location
104 S Lincoln Ave
Mansfield, MO 65704-9526
Mailing address
104 S Lincoln Ave
P O Box 585
Mansfield, MO 65704-0585
Phone (417) 924-3262
Other providers in Mansfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.