MEDICARE: HARMONY DENTAL PARTNERS, 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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1740799824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY DENTAL PARTNERS, LLC

Provider Business Mailing Address
First Line	:	1300 N MCCLINTOCK DR STE E12
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-7249
Country	:	US
Telephone Number	:	480-897-2483
Fax Number	:

Provider Business Practice Location Address
First Line	:	10503 W THUNDERBIRD BLVD STE 371
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-2721
Country	:	US
Telephone Number	:	623-977-4001
Fax Number	:

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	KAREN JEAN STRUCK
Credential	:
Telephone Number	:	480-897-2483

Provider Enumeration Date	:	09/21/2017
Last Update Date	:	09/21/2017

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