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1609792951 NPI number — MATILYN NOEL HARSY DMD

NPI Number: 1609792951
Health Care Provider/Practitioner: MATILYN NOEL HARSY DMD

Information about “1609792951” NPI (MATILYN NOEL HARSY DMD) exists in 1609792951 in HTML format HTML  |  1609792951 in plain Text format TXT  |  1609792951 in PDF (Portable Document Format) PDF  |  1609792951 in an XML format XML  formats.

NPI Number : 1609792951 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609792951",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARSY",
    "FirstName": "MATILYN",
    "MiddleName": "NOEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7241 PERSIMMON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DU QUOIN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62832-4270",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-318-9258",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23 MAIN ST STE 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HILTON HEAD",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29926-6607",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-671-7336",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2026",
    "LastUpdateDate": "06/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "DGD.11514.GD",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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