MEDICARE: DR. JOHN P HARMEYER 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	122300000X	Dentist	19904	OH

General Provider Information

NPI Number	:	1285792358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P HARMEYER DDS

Provider Business Mailing Address
First Line	:	4291 SUGARCREEK DR
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305
Country	:	US
Telephone Number	:	937-848-7741
Fax Number	:	937-848-9394

Provider Business Practice Location Address
First Line	:	4291 SUGARCREEK DR
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305
Country	:	US
Telephone Number	:	937-848-7741
Fax Number	:	937-848-9394

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	10/15/2015

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