| Douglas E. Harshberger, DDS, PC | |
|
5236 Blue Ridge Blvd Raytown MO 64133-3061 | |
| (816) 356-6020 | |
| (816) 356-1606 |
| Full Name | Douglas E. Harshberger, DDS, PC |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5236 Blue Ridge Blvd, Raytown, Missouri |
| Authorized Official Name and Position | Douglas Eugene Harshberger (PC) |
| Authorized Official Contact | 8163566020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas E. Harshberger, DDS, PC 5236 Blue Ridge Blvd Raytown MO 64133-3061 Ph: (816) 356-6020 | Douglas E. Harshberger, DDS, PC 5236 Blue Ridge Blvd Raytown MO 64133-3061 Ph: (816) 356-6020 |
| NPI Number | 1154569762 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154569762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014864 (Missouri) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 014864 (Missouri) | Primary |
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