MEDICARE: HARMON VOSS JACOBS 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	15050	TX

General Provider Information

NPI Number	:	1174631980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARMON VOSS JACOBS DDS

Provider Business Mailing Address
First Line	:	1010 W MITCHELL STREET
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2543
Country	:	US
Telephone Number	:	817-265-0871
Fax Number	:	817-276-0489

Provider Business Practice Location Address
First Line	:	1010 W MITCHELL STREET
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2543
Country	:	US
Telephone Number	:	817-265-0871
Fax Number	:	817-276-0489

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/08/2007

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