MEDICARE: MEGAN ELIZABETH HARBAUGH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	9518	CO

General Provider Information

NPI Number	:	1205029832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ELIZABETH HARBAUGH D.D.S.

Provider Business Mailing Address
First Line	:	3600 S BEELER ST STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1802
Country	:	US
Telephone Number	:	303-779-2592
Fax Number	:	303-779-2522

Provider Business Practice Location Address
First Line	:	3600 S BEELER ST STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1802
Country	:	US
Telephone Number	:	303-779-2592
Fax Number	:	303-779-2522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	03/04/2010

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