Provider Demographics
NPI:1154535094
Name:PLUMMER, HARRY MARTIN JR (DMD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:MARTIN
Last Name:PLUMMER
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7051 DR PHILLIPS BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5140
Mailing Address - Country:US
Mailing Address - Phone:407-345-1442
Mailing Address - Fax:
Practice Address - Street 1:7051 DR PHILLIPS BLVD STE 10
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5140
Practice Address - Country:US
Practice Address - Phone:407-345-1442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL93831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice