Healthcare Provider Details

I. General information

NPI: 1083764450
Provider Name (Legal Business Name): NANCI LOCKLEAR HARP D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 SOUTH MAIN ST
RED SPRINGS NC
28377-9281
US

IV. Provider business mailing address

POST OFFICE BOX 231
RED SPRINGS NC
28377-9281
US

V. Phone/Fax

Practice location:
  • Phone: 910-843-4262
  • Fax:
Mailing address:
  • Phone: 910-843-4262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7150
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: