| Jeffrey C, Harvey D.d.s., Sc.d., P.a. | |
|
1550 30th Ave S Moorhead MN 56560-5150 | |
| (218) 236-1322 | |
| (218) 236-0719 |
| Full Name | Jeffrey C, Harvey D.d.s., Sc.d., P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1550 30th Ave S, Moorhead, Minnesota |
| Authorized Official Name and Position | Jeffrey Clyde Harvey (OWNER) |
| Authorized Official Contact | 2182361322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C, Harvey D.d.s., Sc.d., P.a. 1550 30th Ave S Moorhead MN 56560-5150 Ph: (218) 236-1322 | Jeffrey C, Harvey D.d.s., Sc.d., P.a. 1550 30th Ave S Moorhead MN 56560-5150 Ph: (218) 236-1322 |
| NPI Number | 1649464850 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649464850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D10196 (Minnesota) | Primary |
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