Matthew R Harmon, D.D.S.

Individual provider Active NPI General Practice Dentistry · Osage City, KS

NPI 1992749378 · NPPES record last updated Sep 11, 2012

Key facts

NPI
1992749378
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
60389 (KS)
Practice address
840 Lakin Street
Osage City, KS 66523-1152
Phone
(785) 528-3773
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
60389KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert H. Harmon D.D.S., P.a. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60389 KS Yes

Addresses

Primary practice location

840 Lakin Street
Osage City, KS 66523-1152

Mailing address

840 Lakin Street
Osage City, KS 66523-1152
Phone (785) 528-3773

Other providers in Osage City, KS

All providers in Osage City, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.