Healthcare Provider Details

I. General information

NPI: 1841307097
Provider Name (Legal Business Name): JAMES D HARKINS DMD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 FOREST GROVE RD
CORAOPOLIS PA
15108-3497
US

IV. Provider business mailing address

327 FOREST GROVE RD
CORAOPOLIS PA
15108-3497
US

V. Phone/Fax

Practice location:
  • Phone: 412-771-2411
  • Fax: 412-771-8852
Mailing address:
  • Phone: 412-771-2411
  • Fax: 412-771-8852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS018389L
License Number StatePA

VIII. Authorized Official

Name: DR. JAMES D HARKINS
Title or Position: PRES
Credential: DMD
Phone: 412-771-2411