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NPI Code Detail

MEDICARE: DR. ELYCIA ANN HARMS DDS

MEDICARE: DR. ELYCIA ANN HARMS 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
11223G0001XGeneral Practice Dentistry6480NE

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 : 1952486284
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELYCIA ANN HARMS DDS
Provider Business Mailing Address
First Line : 1745 N 86TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-3632
Country : US
Telephone Number : 402-489-8848
Fax Number : 402-489-8938
Provider Business Practice Location Address
First Line : 1745 N 86TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-3632
Country : US
Telephone Number : 402-489-8848
Fax Number : 402-489-8938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ELYCIA ANN HARMS DDS” Practice Location

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