Healthcare Provider Details

I. General information

NPI: 1538240064
Provider Name (Legal Business Name): STEVEN CARL HARROP DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 HIGHWAY 20
WINTHROP WA
98862-0865
US

IV. Provider business mailing address

505 HIGHWAY 20 PO BOX 865
WINTHROP WA
98862-0865
US

V. Phone/Fax

Practice location:
  • Phone: 509-996-2293
  • Fax: 509-996-9231
Mailing address:
  • Phone: 509-996-2293
  • Fax: 509-996-9231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5071
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: