Christopher W Harada, DDS

Individual provider Active NPI General Practice Dentistry · Havre, MT

NPI 1992931927 · NPPES record last updated Mar 6, 2020

Key facts

NPI
1992931927
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2353 (MT)
Practice address
130 13TH St Ste 2
Havre, MT 59501-5219
Phone
(406) 265-2063
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
No

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
2353MTMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2353 MT Yes

Addresses

Primary practice location

130 13TH St Ste 2
Havre, MT 59501-5219

Mailing address

130 13TH St Ste 2
Havre, MT 59501-5219
Phone (406) 265-2063

Other practice location 1

202 2nd Street South
Suite 203
Great Falls, MT 59401-5940
Phone (406) 791-9267

Other providers in Havre, MT

All providers in Havre, MT · General Practice Dentistry in Montana

Sources for this page

Verify at the official NPI Registry.