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NPI Code Detail

MEDICARE: BELLBROOK FAMILY DENTISTRY-JOHN P HARMEYER, DDS LLC

MEDICARE: BELLBROOK FAMILY DENTISTRY-JOHN P HARMEYER, DDS LLC
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
11223G0001XGeneral Practice Dentistry19904OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720452634
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLBROOK FAMILY DENTISTRY-JOHN P HARMEYER, DDS LLC
Provider Business Mailing Address
First Line : 4291 SUGARCREEK DR
Second Line :
City : BELLBROOK
State : OH
Zip : 45305-1330
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 : 45305-1330
Country : US
Telephone Number : 937-848-7741
Fax Number : 937-848-9394
Authorized Official
Title or Position : OWNER
Name : DR. JOHN PATRICK HARMEYER
Credential : DDS
Telephone Number : 937-848-7741
Provider Enumeration Date : 11/17/2015
Last Update Date : 11/17/2015

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