| Harry Hart Dental Corporation | |
|
11523 Palm Dr Desert Hot Springs CA 92240-3601 | |
| (760) 365-6595 | |
| Not Available |
| Full Name | Harry Hart Dental Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 11523 Palm Dr, Desert Hot Springs, California |
| Authorized Official Name and Position | Harry Allen Hart (PRESIDENT) |
| Authorized Official Contact | 7603656595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry Hart Dental Corporation 11523 Palm Dr Desert Hot Springs CA 92240-3601 Ph: (760) 365-6595 | Harry Hart Dental Corporation 11523 Palm Dr Desert Hot Springs CA 92240-3601 Ph: (760) 365-6595 |
| NPI Number | 1104492891 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Medicare PECOS PAC ID | 9436550217 |
|---|---|
| Medicare Enrollment ID | O20210630003006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104492891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Harry Allen Hart |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598812802 PECOS PAC ID: 5395048011 Enrollment ID: I20210630003154 |
Dhs Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66450 Pierson Blvd, Desert Hot Springs, CA 92240 Phone: 760-329-2191 Fax: 760-329-3581 | |
Jae Won Lee Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66450 Pierson Blvd, Desert Hot Springs, CA 92240 Phone: 907-346-0130 | |
Shodhan Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 11213 Palm Dr, Desert Hot Springs, CA 92240 Phone: 760-251-2666 Fax: 760-251-7655 | |
Hart Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11523 Palm Dr, Desert Hot Springs, CA 92240 Phone: 760-329-6713 | |
Jinnam Baek Dental Practice Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13120 Palm Dr, Desert Hot Springs, CA 92240 Phone: 951-550-1545 | |
Harinshodhan A Professional Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11213 Palm Dr, Desert Hot Springs, CA 92240 Phone: 818-642-2777 Fax: 760-251-7655 |