| Thomas J. Harmon D.D.S. | |
|
3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 | |
| (616) 949-2650 | |
| (616) 222-0747 |
| Full Name | Thomas J. Harmon D.D.S. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3575 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Thomas J Harmon (OWNER) |
| Authorized Official Contact | 6169492650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J. Harmon D.D.S. 3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 Ph: (616) 949-2650 | Thomas J. Harmon D.D.S. 3575 Lake Eastbrook Blvd Se Grand Rapids MI 49546-5934 Ph: (616) 949-2650 |
| NPI Number | 1396090619 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396090619 | NPI | - | NPPES |
| 4055750 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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