MEDICARE: DR. SANDY HARMON 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	DS035921	PA

General Provider Information

NPI Number	:	1598748568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDY HARMON DDS

Provider Business Mailing Address
First Line	:	1412 FAIRMOUNT AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2908
Country	:	US
Telephone Number	:	215-599-4851
Fax Number	:	215-232-4093

Provider Business Practice Location Address
First Line	:	1412 FAIRMOUNT AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2908
Country	:	US
Telephone Number	:	215-235-9600
Fax Number	:	215-232-4093

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	09/02/2021

Similar Medicare Providers

1932855822 — MIKAYLA NICOLE OSORIO PA-C
Practice Location Address:

1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908

Practice Phone: 215-235-9600
Practice Fax:

1083616882 — DR. ALVAN SCOTT MCNEAL DO
Practice Location Address:

1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908

Practice Phone: 215-235-9600
Practice Fax: 215-232-4093

1457340564 — DR. MOEMEN H ELMASRY D.D.S
Practice Location Address:

1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908

Practice Phone: 215-684-5349
Practice Fax: 215-684-5375

1144203480 — MS. RUBY J. CAMARENA MD
Practice Location Address:

1412 FAIRMOUNT AVENUE , FAIRMOUNT PRIMARY CARE CENTER
PHILADELPHIA, PA
19130-2908

Practice Phone: 215-235-9600
Practice Fax: 215-232-4093

1235112566 — DR. GRETA J. STEWART D.O.
Practice Location Address:

1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908

Practice Phone: 215-235-9600
Practice Fax: 215-232-4093

1285699686 — DELAWARE VALLEY COMMUNITY HEALTH, INC.
Practice Location Address:

1412-22 FAIRMOUNT AVENUE
PHILADELPHIA, PA
19130-2908

Practice Phone: 215-235-9600
Practice Fax: 215-232-4093

Directions to “ DR. SANDY HARMON DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.