MEDICARE: DR. KIMBERLY D HARPER DDS

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	1223G0001X	General Practice Dentistry	21451	TX
2	1223G0001X	General Practice Dentistry	8143	OK

General Provider Information

NPI Number	:	1720265804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY D HARPER DDS

Provider Business Mailing Address
First Line	:	1515 NE LAWRIE TATUM RD
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73507-3002
Country	:	US
Telephone Number	:	817-726-6012
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 N MACARTHUR BLVD STE C
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-8804
Country	:	US
Telephone Number	:	972-258-6462
Fax Number	:	972-258-6477

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

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	05/27/2026

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Directions to “ DR. KIMBERLY D HARPER DDS” Practice Location

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