MEDICARE: WILLIAM S. HARVEY, III DDS2

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
2	261QD0000X	Dental Clinic/Center	8223	NC

General Provider Information

NPI Number	:	1316442452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM S. HARVEY, III DDS2

Provider Business Mailing Address
First Line	:	801 PLAZA BLVD
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-2143
Country	:	US
Telephone Number	:	252-527-5333
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 PROFESSIONAL CIR
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4302
Country	:	US
Telephone Number	:	252-726-2360
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MRS. JENNY BRITT
Credential	:
Telephone Number	:	919-222-8232

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	10/05/2022

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